NPI | 1134482649 |
---|---|
Entity Type | Organization |
Authorized Contact | SHERRY JAGGERS GREGORY Office Manager 870-222-4544 |
Organization Subpart ? | No |
Primary Taxonomy | 252Y00000X Early Intervention Provider Agency (Licence: AR 12009) |
Enumeration Date | 2012-06-19 |
Last Update Date | 2012-06-19 |