| NPI | 1487491270 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIMBERLY BROWN Director Of Compliance 870-243-7219 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2024-07-10 |
| Last Update Date | 2024-07-17 |