| NPI | 1104493790 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARTA IVETTE DURAND President 501-247-6326 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical |
| Additional Taxonomies | 103TC1900X Psychologist, Counseling |
| 103TF0000X Psychologist, Family | |
| Enumeration Date | 2021-06-10 |
| Last Update Date | 2021-06-10 |