Conway County Community Service, INC
NPI #1023854668 in Berryville, Arkansas
Provider Information
- NPI Number
- 1023854668
- Entity Type
- Organization
- Organization Name
- Conway County Community Service, INC
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- CONWAY COUNTY COMMUNITY SERVICE, INC
- Primary Specialty
- Community/Behavioral Health
- Enumeration Date
- Jul 3, 2024
- Last Updated
- Jul 3, 2024
Practice Location
- Address
- 605 EUREKA AVE STE C
- City
- Berryville
- State
- Arkansas
- ZIP Code
- 72616-3035
- Phone
- (870) 929-6023
Authorized Official
- Name
- ANGELA LYNN WHEAT
- Title
- PA/CREDENTIALING CLERK
- Phone
- (501) 354-4589
Specialties & Taxonomy Codes
| Specialty |
|---|
| Community/Behavioral Health |
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