| NPI | 1205486578 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSHUA R PIERCE President 870-335-6993 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Additional Taxonomies | 101YP1600X Counselor, Pastoral |
| 101YP2500X Counselor, Professional | |
| 1041C0700X Social Worker, Clinical | |
| Enumeration Date | 2019-09-18 |
| Last Update Date | 2024-06-25 |