| NPI | 1871020628 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELAINE KEMP Psychologist/Owner 870-587-7020 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 251S00000X (Licence: AR 05-02P) |
| Enumeration Date | 2017-05-11 |
| Last Update Date | 2019-10-29 |