| NPI | 1699034207 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FATRA JENEESE SANDERS Early Interventions Program Admin 870-382-8632 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency (Licence: AR 132777786) |
| Enumeration Date | 2012-05-16 |
| Last Update Date | 2012-05-16 |