| NPI | 1215444963 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLENE FIELDS Executive Director 479-640-4225 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center Rehabilitation, Substance Use Disorder |
| Additional Taxonomies | 261QM0850X Clinic/Center Adult Mental Health |
| Enumeration Date | 2018-01-03 |
| Last Update Date | 2018-01-03 |