NPI | 1932615234 |
---|---|
Entity Type | Organization |
Authorized Contact | AMY DENTON CEO 501-329-5459 |
Organization Subpart ? | No |
Primary Taxonomy | 261QR0400X Clinic/Center, Rehabilitation |
Additional Taxonomies | 2080P0006X Pediatrics, Developmental - Behavioral Pediatrics |
261QD1600X Clinic/Center, Developmental Disabilities | |
Enumeration Date | 2017-12-21 |
Last Update Date | 2018-08-06 |