NPI | 1508369067 |
---|---|
Entity Type | Organization |
Authorized Contact | MATTIE YOLANDA WARREN Owner/Therapist 870-882-1265 |
Organization Subpart ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: AR 2665-C) |
Enumeration Date | 2018-03-12 |
Last Update Date | 2018-03-12 |