| NPI | 1801488317 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HEATHER MCQUAY Director Of Accounts 870-604-4455 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2021-02-05 |
| Last Update Date | 2024-11-18 |