| NPI | 1780756692 |
|---|---|
| Other Name | MCDOWELL |
| Entity Type | Organization |
| Authorized Contact | RUSTY GOAD Administrator 731-286-2861 |
| Organization Subpart ? | No |
| Primary Taxonomy | 323P00000X Psychiatric Residential Treatment Facility |
| Enumeration Date | 2006-11-15 |
| Last Update Date | 2020-08-22 |