| NPI | 1942550322 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KASEY NICOLE GRASS Owner/Psychologist 501-993-2274 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: MO 2011019654) |
| Enumeration Date | 2012-09-13 |
| Last Update Date | 2012-11-15 |