| NPI | 1184657108 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAUL WESLEY RUST President/Owner 479-484-1111 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: AR C237) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: AR M9803014) |
| Enumeration Date | 2006-07-10 |
| Last Update Date | 2008-08-25 |