| NPI | 1215050547 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICIA LYNN VANGILDER Chief Financial Officer 501-228-3813 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD1600X Clinic/Center, Developmental Disabilities |
| Enumeration Date | 2007-04-10 |
| Last Update Date | 2020-08-22 |