| NPI | 1588709646 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KERRI ANN TUCKER CEO Interim 479-452-5040 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Additional Taxonomies | 163WP0808X Registered Nurse, Psych/Mental Health |
| 164W00000X Licensed Practical Nurse | |
| 171M00000X Case Manager/Care Coordinator | |
| 101Y00000X Counselor | |
| 103T00000X Psychologist | |
| 104100000X Social Worker | |
| 106H00000X Marriage & Family Therapist | |
| 207Q00000X Family Medicine | |
| Enumeration Date | 2007-02-20 |
| Last Update Date | 2019-09-03 |