| None | |
|
7101 W 12th St Suite 303 Little Rock AR 72204-2404 | |
| (501) 661-9711 | |
| (501) 661-9711 |
| Full Name | None |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 7101 W 12th St, Little Rock, Arkansas |
| Authorized Official Name and Position | Albert Robin Wright (THERAPIST) |
| Authorized Official Contact | 5016619711 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| None 7101 W 12th St Suite 303 Little Rock AR 72204-2404 Ph: (501) 661-9711 | None 7101 W 12th St Suite 303 Little Rock AR 72204-2404 Ph: (501) 661-9711 |
| NPI Number | 1952576654 |
|---|---|
| Provider Enumeration Date | 04/24/2008 |
| Last Update Date | 04/24/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952576654 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | 994C (Arkansas) | Primary |
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