| NPI | 1710717343 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIMBERLY ANN MOORE Owner/Therapist 479-633-7423 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Additional Taxonomies | 261QM0850X Clinic/Center, Adult Mental Health |
| Enumeration Date | 2024-08-07 |
| Last Update Date | 2024-08-19 |