| NPI | 1609742949 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHY FISHER Director Of Finance And Admin 479-936-0678 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2025-10-14 |
| Last Update Date | 2025-10-14 |