| NPI | 1689887390 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANTIMOORE H. JACKSON CEO 501-952-5275 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: AR 1568-C) |
| Enumeration Date | 2007-05-08 |
| Last Update Date | 2020-08-22 |