| Family Service Agency,inc. | |
|
628 W Broadway St Suite 300 North Little Rock AR 72114-5544 | |
| (501) 372-4242 | |
| (501) 372-6565 |
| Full Name | Family Service Agency,inc. |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 628 W Broadway St, North Little Rock, Arkansas |
| Authorized Official Name and Position | Victor Werner (CEO) |
| Authorized Official Contact | 5013724242 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Family Service Agency,inc. 628 W Broadway St Suite 300 North Little Rock AR 72114-5544 Ph: (501) 372-4242 | Family Service Agency,inc. 628 W Broadway St Suite 300 North Little Rock AR 72114-5544 Ph: (501) 372-4242 |
| NPI Number | 1417089558 |
|---|---|
| Provider Enumeration Date | 03/12/2007 |
| Last Update Date | 01/05/2022 |
| Certification Date | 01/05/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417089558 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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