| NPI | 1003614090 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAMILLE BOSWELL Professional Counselor/Owner 479-310-0061 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2025-03-05 |
| Last Update Date | 2026-02-09 |