| NPI | 1083462980 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LINDSEY HART Owner 479-222-0688 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 101YP2500X Counselor, Professional |
| Enumeration Date | 2024-05-07 |
| Last Update Date | 2024-06-14 |