NPI | 1750907374 |
---|---|
Entity Type | Organization |
Authorized Contact | VICTORIA WILLIAMS Owner/Developmental Therapist 870-275-1954 |
Organization Subpart ? | No |
Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
Enumeration Date | 2020-06-19 |
Last Update Date | 2020-06-19 |