| NPI | 1730617705 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL BRANDON ROGERS Chief Officer 501-612-7877 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: AR 6653-C) |
| Enumeration Date | 2017-06-02 |
| Last Update Date | 2017-06-02 |