| NPI | 1346012382 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHNNY FAULKNER Psychotherapist 479-858-8899 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2023-10-24 |
| Last Update Date | 2023-10-24 |