| NPI | 1811722747 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAYLOR ROBERSON Owner/Therapist 479-351-0023 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health |
| Additional Taxonomies | 101YP2500X Counselor Professional |
| Enumeration Date | 2024-09-02 |
| Last Update Date | 2024-10-11 |