| NPI | 1730866021 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RHONDA LYNK PEARSON CEO 870-202-9851 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2023-06-29 |
| Last Update Date | 2025-04-10 |