| NPI | 1578430120 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THERESE MARIE SKINNER Clinical Director 501-454-5697 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 103TB0200X Psychologist, Cognitive & Behavioral | |
| 106H00000X Marriage & Family Therapist | |
| 103TC0700X Psychologist, Clinical | |
| 103TP2701X Psychologist, Group Psychotherapy | |
| Enumeration Date | 2025-10-20 |
| Last Update Date | 2025-10-20 |