NPI | 1134445422 |
---|---|
Entity Type | Organization |
Authorized Contact | SHERRY J. GREGORY Office Manager 870-222-4544 |
Organization Subpart ? | No |
Primary Taxonomy | 261QD1600X Clinic/Center, Developmental Disabilities (Licence: AR 01923) |
Enumeration Date | 2010-04-13 |
Last Update Date | 2010-04-13 |