NPI | 1710793880 |
---|---|
Entity Type | Organization |
Authorized Contact | JORDEN A KENREIGH-TOMAS Counselor/Founder 479-208-5917 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
Enumeration Date | 2024-12-04 |
Last Update Date | 2025-01-07 |