| NPI | 1922584184 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THERESE MARIE SKINNER Clinical Therapist/Director 501-454-5697 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: AR 7331-C) |
| Enumeration Date | 2018-07-11 |
| Last Update Date | 2018-07-11 |