| NPI | 1306979265 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHERRY JOANN BUNCH Executive Director 870-994-3103 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD1600X Clinic/Center Developmental Disabilities |
| Enumeration Date | 2007-03-13 |
| Last Update Date | 2008-06-16 |