| NPI | 1417338807 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SCARLETT GRIFFIN Billing Specialist 501-837-9696 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2015-06-11 |
| Last Update Date | 2015-06-11 |