| NPI | 1659439248 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT BEN ALLEN Administrator 501-663-3260 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Enumeration Date | 2006-12-05 |
| Last Update Date | 2020-08-22 |