| NPI | 1205273000 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOE NATHAN HALL Executive Director 870-879-1051 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: AR 324500000x) |
| Enumeration Date | 2013-06-03 |
| Last Update Date | 2013-06-03 |