Short Mountain Lodge Cssp LLC

NPI #1194540534 in Paris, Arkansas

Provider Information

NPI Number
1194540534
Entity Type
Organization
Organization Name
Short Mountain Lodge Cssp LLC
Primary Specialty
Community/Behavioral Health
Enumeration Date
Nov 20, 2024
Last Updated
May 7, 2025

Practice Location

Address
2721 W WALNUT ST
City
Paris
ZIP Code
72855-3642
Phone
(479) 963-2255

Authorized Official

Name
MR. CLAUDE BRYANT
Title
REGIONAL ADMINISTRATOR
Phone
(479) 650-7083

Specialties & Taxonomy Codes

Specialty
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Community/Behavioral Health

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