| Spectrum Living Solutions | |
|
3677 W Weir Rd Fayetteville AR 72704-5906 | |
| (479) 871-2481 | |
| Not Available |
| Full Name | Spectrum Living Solutions |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 3677 W Weir Rd, Fayetteville, Arkansas |
| Authorized Official Name and Position | Ashton P Mccombs (BOARD CHAIRMAN) |
| Authorized Official Contact | 6302488892 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Spectrum Living Solutions 4375 N Vantage Dr Ste 104 Fayetteville AR 72703-4986 Ph: (630) 717-7546 | Spectrum Living Solutions 3677 W Weir Rd Fayetteville AR 72704-5906 Ph: (479) 871-2481 |
| NPI Number | 1003448309 |
|---|---|
| Provider Enumeration Date | 02/05/2020 |
| Last Update Date | 02/05/2020 |
| Certification Date | 02/05/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003448309 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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