| NPI | 1356604219 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KENNETH ANDREW CLARK Clinical Director 501-781-2230 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist |
| Enumeration Date | 2012-06-16 |
| Last Update Date | 2023-07-07 |