| South Arkansas Youth Services, Inc | |
|
300 Thompson Ave El Dorado AR 71730-4569 | |
| (870) 863-5153 | |
| (870) 863-5154 |
| Full Name | South Arkansas Youth Services, Inc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 300 Thompson Ave, El Dorado, Arkansas |
| Authorized Official Name and Position | Latrina Lashey Jackson (MHPP) |
| Authorized Official Contact | 8708635153 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| South Arkansas Youth Services, Inc 300 Thompson Ave El Dorado AR 71730-4569 Ph: (870) 863-5153 | South Arkansas Youth Services, Inc 300 Thompson Ave El Dorado AR 71730-4569 Ph: (870) 863-5153 |
| NPI Number | 1538478250 |
|---|---|
| Provider Enumeration Date | 09/29/2010 |
| Last Update Date | 09/29/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538478250 | NPI | - | NPPES |
| NONE | Other | AR | MENTAL HEALTH PARAPROFESSIONAL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (Arkansas) | Primary |
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