| NPI | 1700950011 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICK DRAPER CEO 870-732-1878 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2006-11-20 |
| Last Update Date | 2019-10-22 |