| NPI | 1700150471 |
|---|---|
| Doing Business As | MARGIE'S HOUSE |
| Entity Type | Organization |
| Authorized Contact | ANTONIO JERMAINE ANDERSON Administrative Director 870-536-1600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 104100000X Social Worker |
| Enumeration Date | 2012-02-28 |
| Last Update Date | 2012-10-10 |