| NPI | 1255046439 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MORGAN MCGOWAN Owner 479-477-2352 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101Y00000X Counselor |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2023-01-23 |
| Last Update Date | 2023-04-14 |