| NPI | 1457073801 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDREA EDGMON President/Clinical Social Worker 479-214-0456 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2022-09-13 |
| Last Update Date | 2022-09-13 |