Full Name | |
---|---|
Speciality | Community/behavioral Health |
Location | 1000 E Main, Lamar, Arkansas |
Authorized Official Name and Position | Helen Balding (CORP INSURANCE DIR) |
Authorized Official Contact | 4792716107 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
602 N Walton Blvd Bentonville AR 72712-4576 Ph: (479) 464-1060 | 1000 E Main Lamar AR 72846 Ph: (479) 733-0400 |
NPI Number | 1063724912 |
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Provider Enumeration Date | 07/08/2010 |
Last Update Date | 05/13/2014 |
Identifier | Type | State | Issuer |
---|---|---|---|
1063724912 | NPI | - | NPPES |
183159526 | Medicaid | AR |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | (Arkansas) | Primary |