| NPI | 1609241454 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROSE SMITH Owner 501-804-1786 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2015-12-04 |
| Last Update Date | 2015-12-11 |