| NPI | 1851957625 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MATTHEW YOUNT Mental Health Therapist 870-206-4377 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| 261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
| Enumeration Date | 2019-05-16 |
| Last Update Date | 2019-06-26 |