Provider Demographics
NPI:1912223066
Name:CENTRAL ARKANSAS DEVELOPMENT COUNCIL
Entity Type:Organization
Organization Name:CENTRAL ARKANSAS DEVELOPMENT COUNCIL
Other - Org Name:HEAD START
Other - Org Type:Doing Business As
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:LARRY
Authorized Official - Middle Name:
Authorized Official - Last Name:COGBURN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:501-315-1121
Mailing Address - Street 1:1303 S MAIN ST
Mailing Address - Street 2:
Mailing Address - City:MALVERN
Mailing Address - State:AR
Mailing Address - Zip Code:72104-5227
Mailing Address - Country:US
Mailing Address - Phone:501-332-5426
Mailing Address - Fax:501-337-1942
Practice Address - Street 1:1303 S MAIN ST
Practice Address - Street 2:
Practice Address - City:MALVERN
Practice Address - State:AR
Practice Address - Zip Code:72104-5227
Practice Address - Country:US
Practice Address - Phone:501-332-5426
Practice Address - Fax:501-337-1942
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-04-14
Last Update Date:2010-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AR21773251300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)