NPI | 1801436126 |
---|---|
Entity Type | Organization |
Authorized Contact | KENDELL CAMP Chief Executive Officer 870-277-4357 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
Enumeration Date | 2020-01-14 |
Last Update Date | 2021-05-12 |