NPI | 1912157967 |
---|---|
Doing Business As | BENTON TOWN BRANCH |
Entity Type | Organization |
Authorized Contact | ROLANDO GARCIA CFO 501-315-3344 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X Community/Behavioral Health |
Enumeration Date | 2008-09-26 |
Last Update Date | 2008-11-18 |