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 | 323P00000X Psychiatric Residential Treatment Facility |
3245S0500X Substance Abuse Rehabilitation Facility Substance Abuse Treatment, Children | |
Enumeration Date | 2007-05-15 |
Last Update Date | 2011-06-07 |