New Equinox INC
NPI #1003614090 in Fayetteville, Arkansas
Provider Information
- NPI Number
- 1003614090
- Entity Type
- Organization
- Organization Name
- New Equinox INC
- Primary Specialty
- Clinic/Center - Mental Health (Including Community Mental Health Center)
- Enumeration Date
- Mar 5, 2025
- Last Updated
- Mar 7, 2025
Practice Location
- Address
- 240 N BLOCK AVE
- City
- Fayetteville
- State
- Arkansas
- ZIP Code
- 72701-5253
- Phone
- (907) 388-3465
Authorized Official
- Name
- CAMILLE BOSWELL, LPC
- Title
- PROFESSIONAL COUNSELOR/OWNER
- Phone
- (503) 442-4369
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Mental Health (Including Community Mental Health Center) — Mental Health (Including Community Mental Health Center) |
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