| NPI | 1184773178 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM DUANE OLDHAM Professional Counselor 479-751-5704 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health (Licence: AR P0407033) |
| Enumeration Date | 2007-01-09 |
| Last Update Date | 2008-07-15 |