NPI | 1770358897 |
---|---|
Entity Type | Organization |
Authorized Contact | ANIKA ELAYNE LESLIE Owner 501-553-3590 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
Enumeration Date | 2023-11-20 |
Last Update Date | 2025-06-06 |