| NPI | 1669203543 |
|---|---|
| Former Legal Business Name | SLATE THERAPY, LLC |
| Entity Type | Organization |
| Authorized Contact | CARLI MARETH Owner 479-713-9556 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2024-08-12 |
| Last Update Date | 2026-05-20 |