| NPI | 1821525932 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHNNY FAULKNER CEO 479-858-8899 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: AR P1303033) |
| Enumeration Date | 2017-05-19 |
| Last Update Date | 2017-05-19 |