| Birch Tree Communities, Inc. | |
|
718 Alcoa Rd Benton AR 72015-3406 | |
| (501) 315-3344 | |
| Not Available |
| Full Name | Birch Tree Communities, Inc. |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 718 Alcoa Rd, Benton, Arkansas |
| Authorized Official Name and Position | Rolando Garcia (CFO) |
| Authorized Official Contact | 5013153344 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Birch Tree Communities, Inc. Po Box 1589 Benton AR 72018-1589 Ph: (501) 315-3344 | Birch Tree Communities, Inc. 718 Alcoa Rd Benton AR 72015-3406 Ph: (501) 315-3344 |
| NPI Number | 1174968747 |
|---|---|
| Provider Enumeration Date | 05/08/2013 |
| Last Update Date | 05/08/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174968747 | NPI | - | NPPES |
| 132674786 | Medicaid | AR | |
| 116374726 | Medicaid | AR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (Arkansas) | Primary |
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