| NPI | 1689116048 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KHARMA PARKER Owner 479-925-4444 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2016-11-16 |
| Last Update Date | 2016-11-16 |