| NPI | 1518705953 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIMBERLY BROWN Director Of Compliance 870-243-7219 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2024-07-18 |
| Last Update Date | 2024-07-18 |