| NPI | 1407988355 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARGARET GREEN Superintendent 870-246-8011 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities (Licence: AR 320900000X) |
| Enumeration Date | 2007-03-09 |
| Last Update Date | 2008-06-26 |