| NPI | 1982141149 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHIVONNE MARIE MCCARROLL Office Manager 501-593-6997 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: AR 5940-C) |
| Enumeration Date | 2017-01-26 |
| Last Update Date | 2018-06-16 |