| Birch Tree Communities, Inc. | |
|
1506 Mary Kay Boulevard Benton AR 72015-7201 | |
| (501) 315-3344 | |
| Not Available |
| Full Name | Birch Tree Communities, Inc. |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1506 Mary Kay Boulevard, Benton, Arkansas |
| Authorized Official Name and Position | Priscilla Trudell (BILLING ADMINISTRATOR) |
| Authorized Official Contact | 5013033115 |
| 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. 1506 Mary Kay Boulevard Benton AR 72015-7201 Ph: (501) 315-3344 |
| NPI Number | 1730759457 |
|---|---|
| Provider Enumeration Date | 06/25/2021 |
| Last Update Date | 06/25/2021 |
| Certification Date | 06/07/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730759457 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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