| NPI | 1215648670 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHANIE LANELL BURNETT Co Owner/CEO 501-765-8390 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2022-12-07 |
| Last Update Date | 2022-12-07 |