NPI | 1043630734 |
---|---|
Entity Type | Organization |
Authorized Contact | ELIZABETH GRACE WHITE Co Owner 501-681-3001 |
Organization Subpart ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: AR 6256-C) |
Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: AR 11-25P) |
Enumeration Date | 2014-04-21 |
Last Update Date | 2014-04-21 |