| NPI | 1982189478 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BARBARA MCCRORY Chief Financial Officer 501-660-6886 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QM0855X Clinic/Center Adolescent and Children Mental Health |
| Enumeration Date | 2018-10-01 |
| Last Update Date | 2018-10-01 |