| NPI | 1033569579 |
|---|---|
| Former Legal Business Name | RENWED MINDS THERAPY |
| Entity Type | Organization |
| Authorized Contact | CHARLIE SIMPSON Clinical Director 501-313-1185 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: AR P1310099) |
| Enumeration Date | 2016-06-15 |
| Last Update Date | 2016-06-15 |