| NPI | 1659539062 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHNNY WASHBURN Owner/President 501-791-3331 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD1600X Clinic/Center, Developmental Disabilities |
| Enumeration Date | 2008-06-02 |
| Last Update Date | 2008-06-02 |