DERWIN CLARK

LITTLE ROCK, AR
NPI1508231085
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy322D00000X Residential Treatment Facility, Emotionally Disturbed Children
Enumeration Date2015-12-09
Last Update Date2015-12-09
Business Address
-- DERWIN CLARK
20400 COLONEL GLENN RD
LITTLE ROCK, AR 72210-5323
Phone number: 501-821-5500
Mailing Address
-- DERWIN CLARK
20400 COLONEL GLENN RD
LITTLE ROCK, AR 72210-5323
Phone number: