NPI | 1447518865 |
---|---|
Entity Type | Organization |
Authorized Contact | SUSAN BOYD Executive Director 870-586-9229 |
Organization Subpart ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, |
101YM0800X Counselor, Mental Health | |
225X00000X Occupational Therapist | |
225100000X Physical Therapist | |
Enumeration Date | 2012-04-24 |
Last Update Date | 2025-10-08 |