| NPI | 1528384013 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BERTHENA BO NUNN Director 501-772-3314 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251B00000X Case Management (Licence: AR 145713778) |
| Additional Taxonomies | 251C00000X Day Training, Developmentally Disabled Services (Licence: AR 145713778) |
| 252Y00000X Early Intervention Provider Agency (Licence: AR 145713778) | |
| Enumeration Date | 2010-04-09 |
| Last Update Date | 2010-04-09 |