| NPI | 1508183013 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH BRANNON RANDOLPH President/CEO 479-725-3813 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: AR P0309038) |
| Enumeration Date | 2010-04-23 |
| Last Update Date | 2013-12-10 |