Conway County Community Service INC
NPI #1033344379 in Clarksville, Arkansas
Provider Information
- NPI Number
- 1033344379
- Entity Type
- Organization
- Organization Name
- Conway County Community Service INC
- Primary Specialty
- Community/Behavioral Health
- Enumeration Date
- May 15, 2009
- Last Updated
- Mar 3, 2021
Practice Location
- Address
- 106 CHEROKEE LN
- City
- Clarksville
- State
- Arkansas
- ZIP Code
- 72830-8014
- Phone
- (479) 754-7296
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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