| NPI | 1699215392 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHIRIE BAZELLE CEO 501-663-1837 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: AR A1507104) |
| Enumeration Date | 2017-02-28 |
| Last Update Date | 2017-02-28 |