| NPI | 1821610171 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MAGGIE JAMES Owner 479-765-1187 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2020-05-09 |
| Last Update Date | 2020-05-09 |