| NPI | 1164417283 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LINDA HEALD Coordinator Ar 802-775-8224 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 315P00000X Intermediate Care Facility, Intellectual Disabilities |
| 251S00000X | |
| 261Q00000X Clinic/Center | |
| 261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
| 261QM0850X Clinic/Center, Adult Mental Health | |
| 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder | |
| 251C00000X Day Training, Developmentally Disabled Services | |
| 261QD1600X Clinic/Center, Developmental Disabilities | |
| 103K00000X Behavior Analyst | |
| Enumeration Date | 2005-09-14 |
| Last Update Date | 2023-11-07 |