| NPI | 1689457160 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THADDEUS ELDER Licensed Professional Counselor 501-545-6420 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2023-08-17 |
| Last Update Date | 2023-08-17 |