| NPI | 1912136144 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAMELA MARIE WHITAKER Administrator 870-217-9125 |
| Organization Subpart ? | No |
| Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children (Licence: AR 20128) |
| Enumeration Date | 2009-07-09 |
| Last Update Date | 2009-07-09 |