| NPI | 1710696893 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DE'DRA N THOMPSON Director 501-471-8566 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225800000X Recreation Therapist |
| Additional Taxonomies | 101200000X |
| 103K00000X Behavior Analyst | |
| 106E00000X Assistant Behavior Analyst | |
| 106S00000X Behavior Technician | |
| 221700000X Art Therapist | |
| 251300000X Local Education Agency (LEA) | |
| 251C00000X Day Training, Developmentally Disabled Services | |
| 251E00000X Home Health | |
| 252Y00000X Early Intervention Provider Agency | |
| 332BC3200X Durable Medical Equipment & Medical Supplies Customized Equipment | |
| 3747P1801X Technician Personal Care Attendant | |
| Enumeration Date | 2022-11-17 |
| Last Update Date | 2023-01-28 |