| NPI | 1063947604 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERRY HURT CFO 479-571-6780 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: AR MC-2482) | |
| Enumeration Date | 2017-04-20 |
| Last Update Date | 2024-01-17 |