| Central Arkansas Therapy, Llc | |
|
65 River Ridge Rd Little Rock AR 72227-1525 | |
| (501) 837-0028 | |
| Not Available |
| Full Name | Central Arkansas Therapy, Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 65 River Ridge Rd, Little Rock, Arkansas |
| Authorized Official Name and Position | Kay Wilcox Smith (PRESIDENT) |
| Authorized Official Contact | 5018370028 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Central Arkansas Therapy, Llc 65 River Ridge Rd Little Rock AR 72227-1525 Ph: (501) 837-0028 | Central Arkansas Therapy, Llc 65 River Ridge Rd Little Rock AR 72227-1525 Ph: (501) 837-0028 |
| NPI Number | 1053509125 |
|---|---|
| Provider Enumeration Date | 10/13/2007 |
| Last Update Date | 01/18/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053509125 | NPI | - | NPPES |
| 133609721 | Medicaid | AR | |
| 146141742 | Medicaid | AR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | OTR1275 (Arkansas) | Primary |
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