| Fullerton Treatment Center | |
|
4601 West 7th Street Little Rock AR 72205 | |
| (501) 686-9380 | |
| Not Available |
| Full Name | Fullerton Treatment Center |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 4601 West 7th Street, Little Rock, Arkansas |
| Authorized Official Name and Position | Tom Grunden (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 5016869300 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Fullerton Treatment Center 4400 Shuffield Dr Little Rock AR 72205 Ph: (501) 686-9300 | Fullerton Treatment Center 4601 West 7th Street Little Rock AR 72205 Ph: (501) 686-9380 |
| NPI Number | 1689827917 |
|---|---|
| Provider Enumeration Date | 10/30/2008 |
| Last Update Date | 10/30/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689827917 | NPI | - | NPPES |
| 123148726 | Medicaid | AR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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