| NPI | 1417634676 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RACHAEL HOPPER Owner 479-216-4565 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Enumeration Date | 2023-06-29 |
| Last Update Date | 2023-06-30 |