| NPI | 1073106274 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIM BROWN Director Of Compliance 870-243-7219 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2021-02-18 |
| Last Update Date | 2024-01-12 |