| NPI | 1417840703 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERIC DINGLER Licensed Professional Counselor 501-951-1444 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2025-06-03 |
| Last Update Date | 2025-06-04 |