Conway County Community Service Inc.
NPI #1255994158 in Mountain View, Arkansas
Provider Information
- NPI Number
- 1255994158
- Entity Type
- Organization
- Organization Name
- Conway County Community Service Inc.
- Primary Specialty
- Community/Behavioral Health
- Enumeration Date
- Apr 16, 2019
- Last Updated
- Mar 3, 2021
Practice Location
- Address
- 200 S PEABODY AVE
- City
- Mountain View
- State
- Arkansas
- ZIP Code
- 72560-6311
- Phone
- (870) 269-6635
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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