| NPI | 1669871372 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUDY DURHAM Administrative Assistant 870-741-7600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: AR 1879C) |
| Enumeration Date | 2014-08-19 |
| Last Update Date | 2014-08-19 |