NPI | 1962696245 |
---|---|
Doing Business As | FULL POTENTIAL CHILD DEVELOPMENT CENTER |
Entity Type | Organization |
Authorized Contact | TERRIE SENTENNEY BAKER Director Associate President 501-374-0330 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty (Licence: AR BL00033023) |
Additional Taxonomies | 261QM1300X Clinic/Center, Multi-Specialty |
Enumeration Date | 2007-08-30 |
Last Update Date | 2009-04-09 |