| NPI | 1952800807 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELANIE TAYLOR Owner 479-883-2223 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: AR P1410079) |
| Enumeration Date | 2018-02-06 |
| Last Update Date | 2018-02-06 |