| 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 |