| NPI | 1942809363 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | KARI CRAWFORD Owner 870-897-9508  | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 101YP2500X Counselor, Professional | 
| Additional Taxonomies | 101YM0800X Counselor, Mental Health | 
| Enumeration Date | 2020-10-19 | 
| Last Update Date | 2020-10-19 |