| NPI | 1982290763 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATELYN CONEY Owner 501-733-4593 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2020-12-16 |
| Last Update Date | 2022-10-31 |