| NPI | 1770088338 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATERI B. KILLMAN Therapist 479-599-9385 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: AR 2463-c) |
| Enumeration Date | 2018-03-27 |
| Last Update Date | 2018-03-27 |