| NPI | 1972159267 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WHITNEY ROPP Supervisor 501-737-4320 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 101YP2500X Counselor, Professional |
| Enumeration Date | 2019-08-13 |
| Last Update Date | 2025-05-19 |