| Nwa Second Stage Transition | |
|
608 S Hico St Siloam Springs AR 72761-3740 | |
| (479) 549-3737 | |
| Not Available |
| Full Name | Nwa Second Stage Transition |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 608 S Hico St, Siloam Springs, Arkansas |
| Authorized Official Name and Position | Cecelia Dorko (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 4795473737 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Nwa Second Stage Transition 608 S Hico St Siloam Springs AR 72761-3740 Ph: (479) 549-3737 | Nwa Second Stage Transition 608 S Hico St Siloam Springs AR 72761-3740 Ph: (479) 549-3737 |
| NPI Number | 1679241939 |
|---|---|
| Provider Enumeration Date | 09/01/2021 |
| Last Update Date | 04/25/2022 |
| Certification Date | 04/18/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679241939 | NPI | - | NPPES |
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