| NPI | 1003119751 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDREA MICHELLE FRESH Director 501-442-2293 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: AR 2117-C) |
| Enumeration Date | 2010-12-17 |
| Last Update Date | 2012-03-27 |