| NPI | 1861619652 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAROLYN GOSS Director Service Coordinator 501-565-3841 |
| Organization Subpart ? | No |
| Primary Taxonomy | 222Q00000X Developmental Therapist (Licence: AR IN20A) |
| Enumeration Date | 2007-04-20 |
| Last Update Date | 2020-08-22 |