| Full Name | |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1857 Rice Street, Waldron, Arkansas |
| Authorized Official Name and Position | Aaron L. 'rusti' Holwick (CEO) |
| Authorized Official Contact | 4794526650 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
Po Box 11818 Fort Smith AR 72917-1818 Ph: (479) 452-6650 | 1857 Rice Street Waldron AR 72958 Ph: (479) 452-6650 |
| NPI Number | 1649445859 |
|---|---|
| Provider Enumeration Date | 04/29/2008 |
| Last Update Date | 06/06/2024 |
| Certification Date | 06/06/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649445859 | NPI | - | NPPES |
| 137450726 | Medicaid | AR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
Transitions Mental Health Services Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 267 Washington St, Waldron, AR 72958 Phone: 479-207-2072 | |