NPI | 1699909911 |
---|---|
Other Name | COMMUNITY SERVICE INC. - CONWAY DAY SERVICES |
Entity Type | Organization |
Authorized Contact | ANGELA LYNN WHEAT Pa/Credentialing Clerk 501-354-4589 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X |
Enumeration Date | 2009-05-14 |
Last Update Date | 2021-03-03 |