NPI | 1710501556 |
---|---|
Entity Type | Organization |
Authorized Contact | FANNIE BEATRICE WALLACE Mental Health Therapist 501-553-5539 |
Organization Subpart ? | No |
Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
Enumeration Date | 2020-06-06 |
Last Update Date | 2020-06-06 |