| NPI | 1437132719 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BUCK CLEMONS Controller 870-845-1211 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251C00000X Day Training, Developmentally Disabled Services |
| Enumeration Date | 2005-11-21 |
| Last Update Date | 2020-08-22 |