| Arkansas Support Network, Inc | |
|
6836 Issacs Orchard Rd Springdale AR 72762-6096 | |
| (479) 927-4100 | |
| (479) 927-4101 |
| Full Name | Arkansas Support Network, Inc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 6836 Issacs Orchard Rd, Springdale, Arkansas |
| Authorized Official Name and Position | Daniel M Marino (CFO/DIRECTOR OF HR) |
| Authorized Official Contact | 4799274100 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Arkansas Support Network, Inc 6836 Issacs Orchard Rd Springdale AR 72762-6096 Ph: (479) 927-4100 | Arkansas Support Network, Inc 6836 Issacs Orchard Rd Springdale AR 72762-6096 Ph: (479) 927-4100 |
| NPI Number | 1023663630 |
|---|---|
| Provider Enumeration Date | 08/09/2019 |
| Last Update Date | 08/09/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023663630 | NPI | - | NPPES |
| 132624786 | Other | AR | DDS/FAMILTY SUPPORT |
| 194931706 | Other | AR | ARKANSAS AUTISM PROGRAM |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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