| NPI | 1427764851 |
|---|---|
| Doing Business As | ROOT & PATH |
| Entity Type | Organization |
| Authorized Contact | JEMMA COLEMAN Owner 479-579-0280 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2023-01-30 |
| Last Update Date | 2023-02-01 |