| NPI | 1760779896 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CATHERINE L COON Sole Proprietor 870-918-5989 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: AR 08-17P) |
| Enumeration Date | 2011-07-11 |
| Last Update Date | 2011-07-11 |