NPI | 1770631467 |
---|---|
Other Name | COMMUNITY SERVICE INC. |
Entity Type | Organization |
Authorized Contact | ANGELA LYNN WHEAT Pa/Credentialing Clerk 501-354-4589 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X (Licence: AR 10085) |
Enumeration Date | 2007-01-08 |
Last Update Date | 2021-03-03 |