| NPI | 1205264801 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EMMANUEL ILODIANYA Program Manager 501-837-1055 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness (Licence: AR 057) |
| Enumeration Date | 2013-10-17 |
| Last Update Date | 2013-10-17 |