| NPI | 1124162284 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DIANE WALLS Director 479-667-3552 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251C00000X Day Training, Developmentally Disabled Services (Licence: AR 102247724) |
| Additional Taxonomies | 343900000X Non-emergency Medical Transport (VAN) (Licence: AR 118343715) |
| Enumeration Date | 2007-02-20 |
| Last Update Date | 2020-08-22 |