| NPI | 1215305966 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAMUEL DAILY Licensed Professional Counselor 479-650-8994 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X (Licence: AR P1209086) |
| Enumeration Date | 2015-09-11 |
| Last Update Date | 2015-09-11 |