| NPI | 1790124659 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHELIA D. WILKERSON Clinical Director 479-986-5150 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD1600X Clinic/Center, Developmental Disabilities (Licence: AR 28786) |
| Enumeration Date | 2013-06-24 |
| Last Update Date | 2017-10-25 |