NPI | 1316783384 |
---|---|
Entity Type | Organization |
Authorized Contact | KAILEY BUCK Mental Health Professional/Owner 501-765-0352 |
Organization Subpart ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health |
Enumeration Date | 2024-07-08 |
Last Update Date | 2024-07-08 |