| NPI | 1487207346 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRITTNEY ELAINE HOWELL Operations Director 479-567-4914 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0401X Clinic/Center Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) |
| Additional Taxonomies | 101Y00000X Counselor |
| 101YA0400X Counselor Addiction (Substance Use Disorder) | |
| 101YM0800X Counselor Mental Health | |
| 101YP2500X Counselor Professional | |
| 103TC1900X Psychologist Counseling | |
| 106H00000X Marriage & Family Therapist | |
| 2084P0802X Psychiatry & Neurology Addiction Psychiatry | |
| 225800000X Recreation Therapist | |
| 225C00000X Rehabilitation Counselor | |
| 261Q00000X Clinic/Center | |
| 261QM0850X Clinic/Center Adult Mental Health | |
| 324500000X Substance Abuse Rehabilitation Facility | |
| Enumeration Date | 2019-07-19 |
| Last Update Date | 2023-03-01 |