| NPI | 1649797671 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LESLIE CALDWELL-GALVAN Social Worker/Mental Health Counsel 501-952-9466 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 251B00000X Case Management |
| 251E00000X Home Health | |
| 251S00000X Community/Behavioral Health | |
| 261QF0050X Clinic/Center Family Planning, Non-Surgical | |
| 261QM0855X Clinic/Center Adolescent and Children Mental Health | |
| 320800000X Community Based Residential Treatment Facility, Mental Illness | |
| Enumeration Date | 2017-08-30 |
| Last Update Date | 2017-08-30 |