| NPI | 1013461987 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SCOTT AARON MABRY Clinical Director 870-247-5222 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2016-08-09 |
| Last Update Date | 2016-08-09 |