| NPI | 1811406747 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NANCY HARRIS Owner 479-640-8569 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101Y00000X Counselor |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2017-09-22 |
| Last Update Date | 2017-09-22 |