| West Haven Village, Llc | |
|
312 S Main St De Witt AR 72042-2616 | |
| (870) 946-1501 | |
| (870) 946-0822 |
| Full Name | West Haven Village, Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 312 S Main St, De Witt, Arkansas |
| Authorized Official Name and Position | Christina D Starks (HUMAN RESOURCES) |
| Authorized Official Contact | 8709461501 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| West Haven Village, Llc 312 S Main St De Witt AR 72042-2616 Ph: (870) 946-1501 | West Haven Village, Llc 312 S Main St De Witt AR 72042-2616 Ph: (870) 946-1501 |
| NPI Number | 1811697782 |
|---|---|
| Provider Enumeration Date | 03/08/2023 |
| Last Update Date | 03/08/2023 |
| Certification Date | 03/08/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811697782 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
Dana's House, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 108 S Jefferson St, De Witt, AR 72042 Phone: 870-509-1675 Fax: 870-946-8303 |