| NPI | 1619337904 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EMILY ROBERTS Owner 479-856-6400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD1600X Clinic/Center Developmental Disabilities (Licence: AR PT3719) |
| Enumeration Date | 2016-02-29 |
| Last Update Date | 2016-02-29 |