| NPI | 1609068477 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BERTHENA NUNN Director 501-985-0757 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251C00000X (Licence: AR 145713778) |
| Additional Taxonomies | 251B00000X Case Management (Licence: AR 145713778) |
| Enumeration Date | 2007-08-15 |
| Last Update Date | 2007-08-15 |