| NPI | 1952645988 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LINDSEY MARIE HENDERSON Clinical Psychologist 501-232-0628 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: AR 09-06P) |
| Enumeration Date | 2012-11-15 |
| Last Update Date | 2013-02-08 |