| NPI | 1346083698 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER R ASHLEY Owner/Manager 501-701-4056 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Additional Taxonomies | 101Y00000X Counselor |
| Enumeration Date | 2024-06-14 |
| Last Update Date | 2024-06-14 |