Organization
NEIGHBOEHOOD COMMUNITY OUTREACH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. WANDA R. JACKSON (DIRECTOR)
(870) 234-1530
Entity
Organization
Contact information
Practice address
412 BEENE, MAGNOLIA, AR 71753-3414
(870) 234-1530
(870) 234-7508
Mailing address
PO BOX 2181, MAGNOLIA, AR 71754-7181
(870) 234-1530
(870) 234-7508
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
145712778
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
132660786
EARLY INTERVENTION
AR
05
—
145712778
—
AR
Enumeration date
05/08/2007
Last updated
07/29/2008
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