| NPI | 1023461217 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HALEE FAWNE ROBERTS Co Owner/Mental Health Therapist 479-435-6679 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical |
| Enumeration Date | 2016-07-22 |
| Last Update Date | 2016-07-22 |