| NPI | 1679241939 |
|---|---|
| Former Legal Business Name | NWA SECOND STAGE TRANSITION |
| Entity Type | Organization |
| Authorized Contact | CECELIA DORKO Executive Director 479-547-3737 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 101YP2500X Counselor, Professional | |
| Enumeration Date | 2021-09-01 |
| Last Update Date | 2022-04-25 |