| NPI | 1699645796 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FAITH MARY CATHERINE SUCHOMELLY Mental Health Counselor 870-955-4303 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2025-11-05 |
| Last Update Date | 2025-11-13 |