NPI | 1528454139 |
---|---|
Entity Type | Organization |
Authorized Contact | AYISHA R KELLYBREW-MILLER Owner 501-336-3600 |
Organization Subpart ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: AR P0409039) |
Enumeration Date | 2015-04-09 |
Last Update Date | 2015-04-09 |