| NPI | 1003054453 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GIDGETT LEANN BRADFORD Occupational Therapist 501-726-1700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA0600X Clinic/Center, Adult Day Care |
| Additional Taxonomies | 385H00000X Respite Care |
| Enumeration Date | 2009-01-22 |
| Last Update Date | 2010-11-04 |