| NPI | 1164984373 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT EARL DONALD Official Organization Provider 501-398-1987 |
| Organization Subpart ? | No |
| Primary Taxonomy | 222Q00000X Developmental Therapist |
| Enumeration Date | 2019-04-05 |
| Last Update Date | 2019-04-05 |