| NPI | 1598427726 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAYLER BRICKELL President 501-420-4407 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 101Y00000X Counselor | |
| Enumeration Date | 2021-10-05 |
| Last Update Date | 2026-01-13 |