| NPI | 1952762866 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA ALBUJA Lpc 479-431-8152 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: AR P1506065) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: AR A1603031) |
| Enumeration Date | 2016-03-19 |
| Last Update Date | 2016-03-29 |