| NPI | 1407464803 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LARRY C PRESTON President 870-725-4700 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist |
| Enumeration Date | 2020-07-21 |
| Last Update Date | 2020-12-18 |