| 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 |