| NPI | 1366945313 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL S JONES Owner 866-507-9994 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: AR P0907041) |
| Enumeration Date | 2018-03-15 |
| Last Update Date | 2021-11-08 |