NPI | 1649381120 |
---|---|
Entity Type | Organization |
Authorized Contact | BRIAN LUTZ Chief Financial Officer 479-967-5570 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
Enumeration Date | 2006-08-31 |
Last Update Date | 2020-08-22 |