| NPI | 1285954339 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS R HEISLER CEO 870-295-5280 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency (Licence: AR 14012) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: AR 14012) |
| 235Z00000X Speech-Language Pathologist, (Licence: AR 14012) | |
| Enumeration Date | 2010-06-10 |
| Last Update Date | 2010-06-10 |