| NPI | 1093349995 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MEGAN TAYLOR Co Director 479-903-2478 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist |
| Enumeration Date | 2020-02-28 |
| Last Update Date | 2020-02-28 |