| NPI | 1245912062 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BREE VANLEY Owner 501-588-7877 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Additional Taxonomies | 261QM0850X Clinic/Center, Adult Mental Health |
| 261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
| 251S00000X | |
| Enumeration Date | 2023-08-02 |
| Last Update Date | 2023-08-02 |