NPI | 1194338061 |
---|---|
Entity Type | Organization |
Authorized Contact | PAULA SHANNON President/Owner/Manager 501-352-4178 |
Organization Subpart ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
101YM0800X Counselor, Mental Health | |
106H00000X Marriage & Family Therapist | |
Enumeration Date | 2020-08-28 |
Last Update Date | 2024-01-18 |