NPI | 1255455010 |
---|---|
Entity Type | Organization |
Authorized Contact | KERWIN GRAY Financial Officer 870-584-3416 |
Organization Subpart ? | No |
Primary Taxonomy | 251B00000X Case Management (Licence: AR CERTIFICATE) |
Additional Taxonomies | 251C00000X Day Training, Developmentally Disabled Services (Licence: AR CERTIFICATE) |
261QD1600X Clinic/Center Developmental Disabilities | |
Enumeration Date | 2007-03-19 |
Last Update Date | 2020-08-22 |