| NPI | 1972188969 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KARLA RAE GATELEY Director 479-287-8814 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2021-03-11 |
| Last Update Date | 2021-03-11 |