| NPI | 1831349851 |
|---|---|
| Doing Business As | RUSSELLVILLE BRANCH |
| Entity Type | Organization |
| Authorized Contact | ROLANDO GARCIA CFO 501-315-3344 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2008-09-26 |
| Last Update Date | 2012-03-12 |