| NPI | 1801245105 |
|---|---|
| Other Name | YOUTH BRIDGE |
| Entity Type | Organization |
| Authorized Contact | MARILYN HOKE Mhp 479-575-9471 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center Health Service (Licence: AR 171M00000X) |
| Enumeration Date | 2016-06-07 |
| Last Update Date | 2016-06-07 |