| NPI | 1831216514 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TED SUHL CEO 870-647-1400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 323P00000X Psychiatric Residential Treatment Facility (Licence: AR 10031) |
| Additional Taxonomies | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children (Licence: AR 10031) |
| 101YM0800X Counselor Mental Health | |
| Enumeration Date | 2007-03-26 |
| Last Update Date | 2022-07-21 |