| NPI | 1831067347 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MOHD DZAIDI MOHD DAUD CEO 479-353-2368 |
| Organization Subpart ? | No |
| Primary Taxonomy | 364SP0810X Clinical Nurse Specialist, Psych/Mental Health, Child & Family |
| Additional Taxonomies | 261QM1300X Clinic/Center, Multi-Specialty |
| Enumeration Date | 2025-10-27 |
| Last Update Date | 2025-10-27 |