| NPI | 1669997599 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JULIE FANT CHILDERS Director 501-213-1077 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: AR C1416) |
| Enumeration Date | 2017-08-11 |
| Last Update Date | 2025-01-01 |