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714 A Ash Flat Dr Ashflat AR 72513-0155 | |
(870) 793-8900 | |
(870) 793-8959 |
Full Name | |
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Speciality | Community/behavioral Health |
Location | 714 A Ash Flat Dr, Ashflat, Arkansas |
Authorized Official Name and Position | Jeanne Brosius (QC) |
Authorized Official Contact | 8707938900 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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714 A Ash Flat Dr Ashflat AR 72513-0155 Ph: (870) 793-8900 | 714 A Ash Flat Dr Ashflat AR 72513-0155 Ph: (870) 793-8900 |
NPI Number | 1962802686 |
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Provider Enumeration Date | 08/29/2014 |
Last Update Date | 08/29/2014 |
Identifier | Type | State | Issuer |
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1962802686 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |