| NPI | 1639254071 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RANDY EDWARDS .Social Work Associate 501-257-4391 |
| Organization Subpart ? | No |
| Primary Taxonomy | 276400000X Rehabilitation, Substance Use Disorder Unit |
| Additional Taxonomies | 286500000X Military Hospital |
| Enumeration Date | 2006-10-26 |
| Last Update Date | 2020-08-22 |