NPI | 1104088194 |
---|---|
Entity Type | Organization |
Authorized Contact | JACKIE M CRAIG Executive Director 870-246-4050 |
Organization Subpart ? | No |
Primary Taxonomy | 252Y00000X Early Intervention Provider Agency (Licence: AR 12407) |
Enumeration Date | 2008-06-30 |
Last Update Date | 2014-12-08 |