| NPI | 1497308498 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSHUA RICHARD HALAMEK Admin/Owner/Therapist 501-317-1766 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 261QM1300X Clinic/Center, Multi-Specialty | |
| Enumeration Date | 2019-07-18 |
| Last Update Date | 2024-06-12 |