| NPI | 1184010282 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ASHLEY ANN GUINN Office Manager 479-785-4083 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor Addiction (Substance Use Disorder) |
| Enumeration Date | 2015-04-15 |
| Last Update Date | 2015-04-15 |