| NPI | 1528274552 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM ADRIAN HICKMON Owner/Director 501-729-4479 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Additional Taxonomies | 3245S0500X Substance Abuse Rehabilitation Facility, Substance Abuse Treatment, Children |
| 323P00000X Psychiatric Residential Treatment Facility | |
| Enumeration Date | 2007-05-15 |
| Last Update Date | 2011-06-07 |