| NPI | 1104071406 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KERRI ANN TUCKER CEO Interim 479-452-5040 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101Y00000X Counselor |
| Additional Taxonomies | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry |
| 106H00000X Marriage & Family Therapist | |
| 103T00000X Psychologist | |
| 1041C0700X Social Worker, Clinical | |
| Enumeration Date | 2008-12-01 |
| Last Update Date | 2019-09-03 |