| NPI | 1184105934 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICIA M LASHLEY Owner 479-287-0009 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: AR P1802014) |
| Enumeration Date | 2018-08-28 |
| Last Update Date | 2018-10-25 |