| Rivendell Behavioral Health Services Of Ar | |
|
120 S Main Ave Brinkley AR 72021-3208 | |
| (501) 316-1255 | |
| (501) 794-0908 |
| Full Name | Rivendell Behavioral Health Services Of Ar |
|---|---|
| Speciality | Clinic/center - Adolescent And Children Mental Health |
| Location | 120 S Main Ave, Brinkley, Arkansas |
| Authorized Official Name and Position | Scott Williams (CEO) |
| Authorized Official Contact | 5013161255 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Rivendell Behavioral Health Services Of Ar 120 S Main Ave Brinkley AR 72021-3208 Ph: (501) 316-1255 | Rivendell Behavioral Health Services Of Ar 120 S Main Ave Brinkley AR 72021-3208 Ph: (501) 316-1255 |
| NPI Number | 1902072234 |
|---|---|
| Provider Enumeration Date | 05/06/2008 |
| Last Update Date | 05/06/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902072234 | NPI | - | NPPES |
| 167276526 | Medicaid | AR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Secondary |
| 261QM0855X | Clinic/center - Adolescent And Children Mental Health | (* (Not Available)) | Primary |
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