| NPI | 1659239564 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH BYNUM Director Of Rcm 479-315-6104 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Additional Taxonomies | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2026-01-12 |
| Last Update Date | 2026-01-12 |