| NPI | 1821225590 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMY DENTON Owner 501-329-5459 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD1600X Clinic/Center, Developmental Disabilities |
| Additional Taxonomies | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| Enumeration Date | 2009-06-19 |
| Last Update Date | 2009-06-19 |