| NPI | 1093955890 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRENDLY CLARK Administrative Director 501-562-9278 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency |
| Enumeration Date | 2009-03-06 |
| Last Update Date | 2009-03-06 |