| NPI | 1407407570 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TARA TINNIN CEO 501-313-0066 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2019-09-20 |
| Last Update Date | 2019-09-20 |