| NPI | 1710513924 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHANIE BURNETT Owner 501-765-8390 |
| Organization Subpart ? | No |
| Primary Taxonomy | 364SP0808X Clinical Nurse Specialist, Psych/Mental Health |
| Enumeration Date | 2020-03-19 |
| Last Update Date | 2020-04-01 |