| NPI | 1194338061 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAULA SHANNON Manager/Owner 501-352-4178 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 101YP2500X Counselor, Professional | |
| 106H00000X Marriage & Family Therapist | |
| Enumeration Date | 2020-08-28 |
| Last Update Date | 2024-11-06 |