| NPI | 1124694245 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SARA KING Owner/Therapist 479-544-0191 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2021-05-29 |
| Last Update Date | 2024-02-22 |