| NPI | 1407516537 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WANSLEY M HARRISON Clinical Social Worker/Therapist 479-274-8847 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2021-12-30 |
| Last Update Date | 2022-05-16 |