| NPI | 1275410706 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CANDICE HENDERSON Owner 501-764-8809 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Enumeration Date | 2025-08-18 |
| Last Update Date | 2025-08-25 |