| NPI | 1578086526 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID HENDRIX CEO 501-590-1811 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: AR 811122292) |
| Enumeration Date | 2017-07-21 |
| Last Update Date | 2017-07-21 |