| NPI | 1992941363 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PURMEALIA ALLEN Owner 870-438-5676 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3245S0500X Substance Abuse Rehabilitation Facility, Substance Abuse Treatment, Children |
| Enumeration Date | 2009-01-06 |
| Last Update Date | 2009-01-06 |