| The P.a.t. Center: People Advocating Transition | |
|
620 South Laurel Street Pine Bluff AR 71601-4859 | |
| (870) 534-4900 | |
| (870) 534-4906 |
| Full Name | The P.a.t. Center: People Advocating Transition |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 620 South Laurel Street, Pine Bluff, Arkansas |
| Authorized Official Name and Position | Ronald Kirby (CEO) |
| Authorized Official Contact | 8705344900 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| The P.a.t. Center: People Advocating Transition 620 South Laurel Street Pine Bluff AR 71601-4859 Ph: (870) 534-4900 | The P.a.t. Center: People Advocating Transition 620 South Laurel Street Pine Bluff AR 71601-4859 Ph: (870) 534-4900 |
| NPI Number | 1144404799 |
|---|---|
| Provider Enumeration Date | 12/18/2007 |
| Last Update Date | 08/23/2022 |
| Certification Date | 08/23/2022 |
| Medicare PECOS PAC ID | 7214252600 |
|---|---|
| Medicare Enrollment ID | O20150205001592 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144404799 | NPI | - | NPPES |
| 180635526 | Medicaid | AR |
| Provider Name | Brian J Neukirch |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1750487567 PECOS PAC ID: 2769374818 Enrollment ID: I20040325000787 |
| Provider Name | Gertrude T Thompkins |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1619000601 PECOS PAC ID: 6507181922 Enrollment ID: I20150206000226 |
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