| NPI | 1336573583 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLA MOORE Speech Language Pathologist 501-358-9894 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency |
| Enumeration Date | 2013-08-23 |
| Last Update Date | 2013-08-23 |