| NPI | 1639407554 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARA ROSE HARTFIELD Owner 479-409-2212 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: AR 06-15P) |
| Enumeration Date | 2009-12-04 |
| Last Update Date | 2009-12-04 |