| NPI | 1942964325 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ABIGAIL GARRETT Outpatient Chief Executive Officer 479-692-1607 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Enumeration Date | 2021-10-22 |
| Last Update Date | 2022-01-17 |