| NPI | 1194482034 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICOLE LEANNE SMART Owner 501-865-3639 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) |
| Enumeration Date | 2021-11-28 |
| Last Update Date | 2021-11-28 |