NPI | 1043595879 |
---|---|
Entity Type | Organization |
Authorized Contact | ERICA BRYANT Rehab Specialist 501-310-5941 |
Organization Subpart ? | No |
Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
Enumeration Date | 2011-10-12 |
Last Update Date | 2011-10-27 |