| NPI | 1679901664 |
|---|---|
| Doing Business As | METHODIST COUNSELING CLINIC |
| Entity Type | Organization |
| Authorized Contact | REGINA GIDEON Credentialing Coordinator 501-906-4223 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst |
| Enumeration Date | 2013-10-29 |
| Last Update Date | 2013-10-29 |