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 |