| NPI | 1164863981 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SEAN BLAKELY MCDONALD Owner And Clinical Director 479-202-6300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: AR A1209072) |
| Enumeration Date | 2013-07-09 |
| Last Update Date | 2021-03-16 |