| NPI | 1821210386 |
|---|---|
| Doing Business As | FAIRWEATHER MANOR |
| Entity Type | Organization |
| Authorized Contact | WANDA RAPER Chief Executive Officer 501-623-3477 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness (Licence: AR 0000) |
| Enumeration Date | 2007-05-03 |
| Last Update Date | 2008-06-24 |