| NPI | 1326916503 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIMOTHY ANDREW HEARN Director 479-226-9050 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2025-10-28 |
| Last Update Date | 2025-10-28 |