| NPI | 1053010595 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEREMY WAYNE DARR President 870-243-9366 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor Addiction (Substance Use Disorder) |
| Additional Taxonomies | 106S00000X Behavior Technician |
| 174200000X Meals | |
| 177F00000X Lodging | |
| 251300000X Local Education Agency (LEA) | |
| 251C00000X Day Training, Developmentally Disabled Services | |
| 251S00000X Community/Behavioral Health | |
| 252Y00000X Early Intervention Provider Agency | |
| 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) | |
| 286500000X Military Hospital | |
| Enumeration Date | 2023-02-23 |
| Last Update Date | 2023-02-23 |