| NPI | 1457842049 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TARA PRESTRIDGE Owner 870-866-0681 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: AR P1110085) |
| Enumeration Date | 2018-05-20 |
| Last Update Date | 2018-05-20 |