| NPI | 1497509087 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRIAN MITCHELL Office Manager 501-222-9382 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional |
| Additional Taxonomies | 101Y00000X Counselor |
| 101YM0800X Counselor Mental Health | |
| 104100000X Social Worker | |
| 1041C0700X Social Worker Clinical | |
| 363LP0808X Nurse Practitioner Psychiatric/Mental Health | |
| Enumeration Date | 2024-04-11 |
| Last Update Date | 2024-07-31 |