| NPI | 1558694802 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GARRY DEAN TEETER Owner 501-847-2229 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: AR P9903009) |
| Additional Taxonomies | 102L00000X Psychoanalyst (Licence: AR p9903009) |
| Enumeration Date | 2009-09-17 |
| Last Update Date | 2009-09-17 |