NPI | 1659863967 |
---|---|
Entity Type | Organization |
Authorized Contact | LESLIE J CHESSHIR Owner 501-318-8190 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health (Licence: AR 3521-C) |
Enumeration Date | 2018-06-01 |
Last Update Date | 2018-06-01 |