| NPI | 1205154044 |
|---|---|
| Doing Business As | ADH SOUTHEAST REGION EPSDT |
| Entity Type | Organization |
| Authorized Contact | TERRI S WRIGHT Agency Program Coordinator 501-661-2859 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251K00000X Public Health or Welfare |
| Enumeration Date | 2010-05-04 |
| Last Update Date | 2010-05-04 |