| NPI | 1881139772 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD LEE ELLER Owner 479-308-8338 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health (Licence: AR P1402014) |
| Enumeration Date | 2016-12-30 |
| Last Update Date | 2016-12-30 |