| NPI | 1336539006 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAROL FOWLER Licensed Cliical Social Worker 479-220-9694 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: AR 1594-C) |
| Enumeration Date | 2015-02-02 |
| Last Update Date | 2020-09-30 |