Organization · Type 2 NPI
Equestrian Zone
Developmental Disabilities Clinic/Center · Russellville, AR
Practice location
4800 S Frankfort Ave
Russellville, AR 72802-0823
Fax (479) 967-1178
Mailing address
PO Box 282
Russellville, AR 72811-0282
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Developmental Disabilities Clinic/Center Primary | 261QD1600X | None listed |
Developmental Disabilities Clinic/Center: An entity, facility, or distinct part of a facility providing comprehensive, multidiscipline diagnostic, treatment, therapy, training, and counseling services to children with congenital disorders that precipitate developmental delays and in many instances mental deficiencies (e.g., Cerebral Palsy, metabolic disorders, Sturge-Weber Syndrome, etc.).
About NPI 1912494527
Equestrian Zone's National Provider Identifier is 1912494527, issued on Apr 18, 2018. The primary taxonomy on file is Developmental Disabilities Clinic/Center (261QD1600X), and the practice location is in Russellville, AR. The record was last updated on Apr 18, 2018.