| NPI | 1851351712 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHEN JOHNSON Assistant Executive Director 870-972-4000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2006-03-24 |
| Last Update Date | 2009-09-18 |