| NPI | 1669853214 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICK BEAN Owner 870-933-1989 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM3000X Clinic/Center, Medically Fragile Infants and Children Day Care |
| Enumeration Date | 2015-06-09 |
| Last Update Date | 2015-06-09 |