| NPI | 1033761853 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MEREDITH IRBY Owner 501-247-3767 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2019-07-11 |
| Last Update Date | 2022-04-11 |