| Psychiatric Clinic Of Hot Springs Pa | |
|
300 Werner St Hot Springs AR 71913-6406 | |
| (501) 262-5614 | |
| Not Available |
| Full Name | Psychiatric Clinic Of Hot Springs Pa |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 300 Werner St, Hot Springs, Arkansas |
| Authorized Official Name and Position | Charles S Lane (PRESIDENT) |
| Authorized Official Contact | 5012625614 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Psychiatric Clinic Of Hot Springs Pa Po Box 6005 Hot Springs AR 71902-6005 Ph: (501) 262-5614 | Psychiatric Clinic Of Hot Springs Pa 300 Werner St Hot Springs AR 71913-6406 Ph: (501) 262-5614 |
| NPI Number | 1124105416 |
|---|---|
| Provider Enumeration Date | 11/01/2006 |
| Last Update Date | 05/04/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124105416 | NPI | - | NPPES |
| 121301002 | Medicaid | AR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | C5421 (Arkansas) | Primary |
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