| Youth Emergency Shelter | |
|
6425 W 12th St Little Rock AR 72204-1509 | |
| (501) 666-7233 | |
| (501) 660-6834 |
| Full Name | Youth Emergency Shelter |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 6425 W 12th St, Little Rock, Arkansas |
| Authorized Official Name and Position | Barbara Mccrory (CHIEF FINANCIAL OFFICER) |
| Authorized Official Contact | 5016668686 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Youth Emergency Shelter Po Box 251970 Little Rock AR 72225-1970 Ph: (501) 666-8686 | Youth Emergency Shelter 6425 W 12th St Little Rock AR 72204-1509 Ph: (501) 666-7233 |
| NPI Number | 1679751945 |
|---|---|
| Provider Enumeration Date | 02/08/2008 |
| Last Update Date | 02/08/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679751945 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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