| NPI | 1326116518 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LESLEY DON COLE CFO 501-661-0720 |
| Organization Subpart ? | No |
| Primary Taxonomy | 323P00000X Psychiatric Residential Treatment Facility |
| Additional Taxonomies | 251S00000X |
| 322D00000X Residential Treatment Facility, Emotionally Disturbed Children | |
| 324500000X Substance Abuse Rehabilitation Facility | |
| Enumeration Date | 2006-12-04 |
| Last Update Date | 2016-06-02 |