| NPI | 1649419607 |
|---|---|
| Other Name | CPR |
| Entity Type | Organization |
| Authorized Contact | DON OTT Sole Proprietor 479-967-3700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: AR 88-06P) |
| Enumeration Date | 2009-02-16 |
| Last Update Date | 2009-02-16 |