| NPI | 1770152043 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WENDELL EDWARD SMITH Therapist 870-926-7356 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2021-06-22 |
| Last Update Date | 2021-10-01 |