| NPI | 1619831260 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HAYLEY BETH HOGUE Owner 479-264-9167 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2025-12-09 |
| Last Update Date | 2025-12-09 |