| NPI | 1447518865 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSAN BOYD Executive Director 870-586-9229 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101Y00000X Counselor |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, |
| 225X00000X Occupational Therapist | |
| 225100000X Physical Therapist | |
| Enumeration Date | 2012-04-24 |
| Last Update Date | 2016-02-24 |