| NPI | 1255455010 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KERWIN GRAY Financial Officer 870-584-3416 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD1600X Clinic/Center, Developmental Disabilities |
| Additional Taxonomies | 251C00000X Day Training, Developmentally Disabled Services (Licence: AR Certificate) |
| 251B00000X Case Management (Licence: AR Certificate) | |
| Enumeration Date | 2007-03-19 |
| Last Update Date | 2025-09-11 |