| NPI | 1881251510 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERRELL NEWTON Owner 501-944-1406 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder | |
| Enumeration Date | 2019-05-29 |
| Last Update Date | 2021-09-01 |