| NPI | 1346711181 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SKY MARIE COLLINS Manager 501-270-4011 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Additional Taxonomies | 104100000X Social Worker |
| Enumeration Date | 2018-12-05 |
| Last Update Date | 2018-12-05 |