| NPI | 1912342692 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SCOTT AARON MABRY Clinical Director 870-247-5222 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health (Licence: AR P1211108) |
| Enumeration Date | 2013-05-07 |
| Last Update Date | 2013-05-07 |