| NPI | 1437300712 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAD TILLEMANS President 501-660-6644 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: AR E2889) |
| Enumeration Date | 2008-10-06 |
| Last Update Date | 2009-01-21 |