| NPI | 1174763536 |
|---|---|
| Other Name | MAGALE MANOR |
| Entity Type | Organization |
| Authorized Contact | CRAIG GAMMON Administrator 501-661-0720 |
| Organization Subpart ? | No |
| Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children |
| Enumeration Date | 2009-02-25 |
| Last Update Date | 2009-02-25 |