| NPI | 1316823545 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAMANTHA RIGGS Operations 479-264-7696 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 324500000X Substance Abuse Rehabilitation Facility |
| 101YM0800X Counselor, Mental Health | |
| Enumeration Date | 2025-08-13 |
| Last Update Date | 2026-06-16 |