| NPI | 1568911063 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MERCEDES C RAY Owner/Director 870-672-1448 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: AR 2036-C) |
| Enumeration Date | 2016-09-25 |
| Last Update Date | 2016-09-25 |