| NPI | 1558910224 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LASHAUN RENEE MCFADDEN Chief Executive Officer 870-850-7797 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA0600X Clinic/Center, Adult Day Care |
| Enumeration Date | 2019-09-05 |
| Last Update Date | 2019-09-05 |