| NPI | 1588294631 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JESSICA C KITCHENS Owner 479-200-0965 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 101YP2500X Counselor, Professional |
| Enumeration Date | 2020-01-16 |
| Last Update Date | 2020-01-16 |