Cb King Jm

NPI #1609298306 in Dermott, Arkansas

Provider Information

NPI Number
1609298306
Entity Type
Organization
Organization Name
Cb King Jm
Primary Specialty
Day Training, Developmentally Disabled Services
Enumeration Date
Jan 15, 2014
Last Updated
Jan 15, 2014

Practice Location

Address
1109 NORTH SCHOOL
ZIP Code
71638-0000
Phone
(870) 538-9659

Authorized Official

Name
MR. ORBY GENE GREGORY
Title
EXECUTIVE DIRECTOR
Phone
(870) 222-4544

Specialties & Taxonomy Codes

Specialty
Day Training, Developmentally Disabled Services

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