| NPI | 1245952514 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHAN DELORENZO Executive Director 501-624-2446 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Additional Taxonomies | 177F00000X Lodging |
| 251B00000X Case Management | |
| 251S00000X | |
| 261Q00000X Clinic/Center | |
| 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
| 261QM0850X Clinic/Center, Adult Mental Health | |
| 261QR0800X Clinic/Center, Recovery Care | |
| 320800000X Community Based Residential Treatment Facility, Mental Illness | |
| 323P00000X Psychiatric Residential Treatment Facility | |
| Enumeration Date | 2022-09-14 |
| Last Update Date | 2024-11-04 |