| NPI | 1457951972 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAMANTHA J ALLISON Licensed Professional Counselor 501-658-3156 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2020-10-26 |
| Last Update Date | 2020-10-26 |