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 |