| NPI | 1639380231 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIMBERLY LASKER Program Director 501-241-0008 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA0600X Clinic/Center, Adult Day Care (Licence: AR 152535756) |
| Additional Taxonomies | 251B00000X Case Management (Licence: AR 152506765) |
| 251E00000X Home Health (Licence: AR 141624752) | |
| 261QA0600X Clinic/Center, Adult Day Care (Licence: AR 140507755) | |
| 385H00000X Respite Care (Licence: AR 141625757) | |
| Enumeration Date | 2007-05-24 |
| Last Update Date | 2007-08-10 |