| NPI | 1851503460 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARTI DUSH Director 501-280-9195 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Enumeration Date | 2007-05-04 |
| Last Update Date | 2022-07-21 |