| NPI | 1871392712 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HAYLEY HOGUE Clinical Director 501-379-4246 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 261QM1300X Clinic/Center, Multi-Specialty |
| Enumeration Date | 2025-03-12 |
| Last Update Date | 2025-03-19 |