| NPI | 1972749810 |
|---|---|
| Doing Business As | WEST MEMPHIS CLINIC |
| Entity Type | Organization |
| Authorized Contact | SHELLA POUNDS Compliance Officer 870-732-1878 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: AR 171534526) |
| Enumeration Date | 2008-12-24 |
| Last Update Date | 2013-08-07 |