NPI | 1134252067 |
---|---|
Entity Type | Organization |
Authorized Contact | SHERRY JOANN BUNCH Executive Director 870-994-3103 |
Organization Subpart ? | No |
Primary Taxonomy | 261QD1600X Clinic/Center Developmental Disabilities |
Enumeration Date | 2007-03-13 |
Last Update Date | 2008-06-16 |