| NPI | 1649726449 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LINDA CATHERINE TRAMONTE Clinical Social Worker 479-443-6496 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X (Licence: AR 1992 C) |
| Enumeration Date | 2016-08-31 |
| Last Update Date | 2016-08-31 |