| NPI | 1437814829 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MINDY MOORE Owner 501-690-9773 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 261QM0801X |
| Enumeration Date | 2021-11-01 |
| Last Update Date | 2021-12-20 |