| NPI | 1518707454 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MEGHAN NEWMAN Owner/ 479-322-4700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2024-05-29 |
| Last Update Date | 2024-05-29 |