| NPI | 1366091738 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIFFANY THRASH Executive Director 479-223-1234 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251C00000X Day Training, Developmentally Disabled Services |
| Additional Taxonomies | 261QD1600X Clinic/Center, Developmental Disabilities |
| Enumeration Date | 2019-09-09 |
| Last Update Date | 2019-09-09 |