| NPI | 1255780458 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA AIMEE THOMPSON Principal/Incorporator/Organizer 479-935-5430 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: AR P1605056) |
| Enumeration Date | 2016-06-08 |
| Last Update Date | 2016-06-08 |