| NPI | 1710508106 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMANDA MICHELLE TAYLOR Director 501-304-4468 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities |
| Enumeration Date | 2020-04-27 |
| Last Update Date | 2020-04-27 |