| NPI | 1912314972 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARILYN HOKE Human Resources 479-575-9471 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness (Licence: AR 171MOOOOOX) |
| Enumeration Date | 2014-07-22 |
| Last Update Date | 2014-07-22 |