| NPI | 1578011565 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALBERT F SANCHEZ CEO 479-263-2690 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Additional Taxonomies | 363A00000X Physician Assistant |
| 363L00000X Nurse Practitioner | |
| Enumeration Date | 2016-09-19 |
| Last Update Date | 2016-10-13 |