| NPI | 1982226221 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LEEANNE CROWSON Owner 501-904-8711 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 2084P0802X Psychiatry & Neurology Addiction Psychiatry |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) |
| 101YP2500X Counselor Professional | |
| 103TA0400X Psychologist Addiction (Substance Use Disorder) | |
| 1041C0700X Social Worker Clinical | |
| 163WA0400X Registered Nurse Addiction (Substance Use Disorder) | |
| Enumeration Date | 2020-05-09 |
| Last Update Date | 2020-05-09 |