| NPI | 1457398547 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHY D HARRIS President, CEO 870-534-1834 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Enumeration Date | 2006-05-31 |
| Last Update Date | 2013-10-14 |