MR. Jimi Henderson SR., RECOVERY ASSISTANT

NPI #1003203332 in Conway, Arkansas

Provider Information

NPI Number
1003203332
Entity Type
Individual
Name
MR. Jimi Henderson SR., RECOVERY ASSISTANT
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Case Manager/Care Coordinator
Credential
RECOVERY ASSISTANT
Enumeration Date
Apr 24, 2015
Last Updated
Nov 8, 2021

Practice Location

Address
132 LOWER RIDGE RD
City
Conway
ZIP Code
72032-8518
Phone
(501) 548-9905

Specialties & Taxonomy Codes

Specialty
Case Manager/Care Coordinator

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