| NPI | 1184584344 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM WADE WALLER Owner/Director 501-231-8132 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Enumeration Date | 2025-11-12 |
| Last Update Date | 2025-11-12 |