| NPI | 1992080469 |
|---|---|
| Doing Business As | SAME |
| Entity Type | Organization |
| Authorized Contact | DONNA JEAN-LACY ROBERSON CEO/ 870-879-6149 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251B00000X Case Management |
| Additional Taxonomies | 252Y00000X Early Intervention Provider Agency |
| Enumeration Date | 2011-10-17 |
| Last Update Date | 2011-10-17 |