| The Gardens | |
|
1625 E 42nd St Texarkana AR 71854-1654 | |
| (870) 772-0689 | |
| (870) 772-1103 |
| Full Name | The Gardens |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1625 E 42nd St, Texarkana, Arkansas |
| Authorized Official Name and Position | Edward V. Holman (PRESIDENT) |
| Authorized Official Contact | 5012240846 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| The Gardens 10 Shackleford Plz Ste 102 Little Rock AR 72211-1886 Ph: (501) 224-0846 | The Gardens 1625 E 42nd St Texarkana AR 71854-1654 Ph: (870) 772-0689 |
| NPI Number | 1346571163 |
|---|---|
| Provider Enumeration Date | 01/18/2010 |
| Last Update Date | 06/17/2024 |
| Certification Date | 06/17/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346571163 | NPI | - | NPPES |
| 175999732 | Medicaid | AR | |
| 298992796 | Medicaid | AR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| 311Z00000X | Custodial Care Facility | 485 (Arkansas) | Secondary |
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