| NPI | 1851458301 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KORIN WESTCOTT Executive Director 870-741-6909 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD1600X Clinic/Center, Developmental Disabilities |
| Enumeration Date | 2007-01-03 |
| Last Update Date | 2020-08-22 |