| NPI | 1780861625 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LATARA MICHELLE DAVIS Secretary 870-572-7447 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251C00000X Day Training, Developmentally Disabled Services |
| Enumeration Date | 2008-01-23 |
| Last Update Date | 2008-01-23 |