| NPI | 1689256869 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MONTOYIA LASHAY KEY Owner 501-448-5423 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health |
| Additional Taxonomies | 101YP2500X Counselor Professional |
| 251S00000X Community/Behavioral Health | |
| 261QM0855X Clinic/Center Adolescent and Children Mental Health | |
| Enumeration Date | 2021-04-26 |
| Last Update Date | 2025-05-21 |