| Community Service Inc - Clarksville | |
|
106 Cherokee Ln Clarksville AR 72830-8014 | |
| (479) 754-7296 | |
| (479) 754-8919 |
| Full Name | Community Service Inc - Clarksville |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 106 Cherokee Ln, Clarksville, Arkansas |
| Authorized Official Name and Position | Angela Lynn Wheat (PA/CREDENTIALING CLERK) |
| Authorized Official Contact | 5013544589 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Community Service Inc - Clarksville 106 Cherokee Ln Clarksville AR 72830-8014 Ph: (479) 754-7296 | Community Service Inc - Clarksville 106 Cherokee Ln Clarksville AR 72830-8014 Ph: (479) 754-7296 |
| NPI Number | 1033344379 |
|---|---|
| Provider Enumeration Date | 05/15/2009 |
| Last Update Date | 03/03/2021 |
| Certification Date | 03/03/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033344379 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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