NPI | 1962652941 |
---|---|
Doing Business As | CLARKSVILLE BRANCH 1 |
Entity Type | Organization |
Authorized Contact | ROLANDO GARCIA CFO 501-315-3344 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X Community/Behavioral Health |
Enumeration Date | 2008-09-25 |
Last Update Date | 2010-09-09 |