| NPI | 1386448207 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHAWN BULLINGTON COO 479-629-7223 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2025-04-01 |
| Last Update Date | 2025-04-01 |