| NPI | 1184795338 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN NOVELLE Partner 501-227-7305 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3245S0500X Substance Abuse Rehabilitation Facility, Substance Abuse Treatment, Children |
| Enumeration Date | 2006-11-10 |
| Last Update Date | 2020-08-22 |