| NPI | 1902443229 |
|---|---|
| Doing Business As | QUAPAW HOUSE |
| Entity Type | Organization |
| Authorized Contact | ANGELA RENEE MOSER Billing/ Claims Spec. 501-204-8186 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2019-12-05 |
| Last Update Date | 2020-01-20 |