| NPI | 1922405570 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HAROLD WAYNE TAYLOR Secretary 479-858-7111 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: AR M0601001) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: AR P0601001) |
| Enumeration Date | 2014-11-25 |
| Last Update Date | 2014-11-25 |