| NPI | 1003401340 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHAWN BARNETT Authorized Official 501-552-3571 |
| Organization Subpart ? | No |
| Primary Taxonomy | 276400000X Rehabilitation, Substance Use Disorder Unit |
| Enumeration Date | 2021-03-09 |
| Last Update Date | 2021-03-09 |