| NPI | 1750656468 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAROLE BAXTER Executive Director 501-372-4611 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2012-03-13 |
| Last Update Date | 2021-01-07 |