| NPI | 1467196386 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SARAH RACKLEY Office Manager 501-226-6810 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Additional Taxonomies | 251S00000X |
| 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder | |
| Enumeration Date | 2022-04-26 |
| Last Update Date | 2022-11-22 |