| NPI | 1174071526 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BEVERLY J TRICKEY Owner 501-860-1114 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 251S00000X Community/Behavioral Health (Licence: AR P0304017) |
| Enumeration Date | 2016-09-14 |
| Last Update Date | 2026-02-13 |