| NPI | 1700821998 |
|---|---|
| Former Legal Business Name | BEHAVIOR THERAPY COUNSELING CLINIC |
| Entity Type | Organization |
| Authorized Contact | JOHN N MARR Psychologist Owner 479-575-0868 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist |
| Enumeration Date | 2006-06-19 |
| Last Update Date | 2008-07-08 |