| NPI | 1831816206 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID BRADSHAW Executive Director 501-614-4900 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2022-10-25 |
| Last Update Date | 2022-10-25 |