| NPI | 1740582105 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLOTTE J EVANS Owner 870-935-5433 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: AR P0909055) |
| Enumeration Date | 2010-11-17 |
| Last Update Date | 2010-11-17 |