| NPI | 1730238049 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAROLE BAXTER Executive Director 501-352-4611 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2007-01-09 |
| Last Update Date | 2020-11-05 |