| NPI | 1568330850 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARMEN D. GRAY GRAY ROBERSON Direector Of Operatins 870-686-6722 |
| Organization Subpart ? | No |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
| Enumeration Date | 2025-10-28 |
| Last Update Date | 2025-10-28 |