| NPI | 1558978858 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CRYSTAL SUSAN ROFKAHR Owner/Manager 479-225-6302 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2020-09-30 |
| Last Update Date | 2020-09-30 |