| NPI | 1386166791 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIEL RAY LUTTRELL Owner 479-270-9129 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: AR P1509096) |
| Enumeration Date | 2017-07-07 |
| Last Update Date | 2017-07-07 |