| NPI | 1598574667 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | LEAH WHITMIRE Creator 479-747-9346  | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 101YM0800X Counselor, Mental Health | 
| Additional Taxonomies | 225A00000X Music Therapist | 
| Enumeration Date | 2025-01-03 | 
| Last Update Date | 2025-01-03 |