| Resurgent Mht | |
|
593 S Horsebarn Rd Rogers AR 72758-8795 | |
| (479) 657-4636 | |
| Not Available |
| Full Name | Resurgent Mht |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 593 S Horsebarn Rd, Rogers, Arkansas |
| Authorized Official Name and Position | Donald E Wleklinski (OWNER) |
| Authorized Official Contact | 4792202772 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Resurgent Mht 324 Ravenwood Rd Siloam Springs AR 72761-5550 Ph: (479) 220-2772 | Resurgent Mht 593 S Horsebarn Rd Rogers AR 72758-8795 Ph: (479) 657-4636 |
| NPI Number | 1366806945 |
|---|---|
| Provider Enumeration Date | 04/08/2016 |
| Last Update Date | 04/08/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366806945 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | A003818 (Arkansas) | Primary |
| 261QM0855X | Clinic/center - Adolescent And Children Mental Health | A003818 (Arkansas) | Secondary |
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