|
| |
|
242 Shake Rag Rd Clinton AR 72031-6629 | |
| (501) 551-3211 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 242 Shake Rag Rd, Clinton, 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 |
|---|---|
Po Box 1589 Benton AR 72018-1589 Ph: (501) 315-3344 | 242 Shake Rag Rd Clinton AR 72031-6629 Ph: (501) 551-3211 |
| NPI Number | 1629228606 |
|---|---|
| Provider Enumeration Date | 09/25/2008 |
| Last Update Date | 04/15/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629228606 | NPI | - | NPPES |
| 116374726 | Medicaid | AR | |
| 137483726 | Medicaid | AR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (Arkansas) | Primary |
Health Resources Of Arkansas, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2526 Highway 65 S, Clinton, AR 72031 Phone: 501-745-4584 Fax: 501-745-5921 | |
Counseling Associates, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2526 Highway 65 S Ste 201, Clinton, AR 72031 Phone: 479-968-1298 Fax: 479-968-6053 | |
Birch Tree Communities, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 242 Shake Rag Rd, Clinton, AR 72031 Phone: 501-315-3344 | |
Anchored Consulting & Aba Services Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1372 Highway 16 E, Clinton, AR 72031 Phone: 501-253-3251 | |