| NPI | 1295532240 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRITTNEY DANIEL Director 501-398-0814 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2025-02-27 |
| Last Update Date | 2025-02-28 |