| NPI | 1598427726 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAYLER BRICKELL President 501-420-4407 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101Y00000X Counselor |
| Additional Taxonomies | 101YM0800X Counselor Mental Health |
| 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) | |
| Enumeration Date | 2021-10-05 |
| Last Update Date | 2024-09-13 |