| NPI | 1538561972 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HALEY BRYANT Part Owner 479-414-3865 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2014-09-17 |
| Last Update Date | 2014-09-17 |