State Pf Arkansas

NPI #1386770030 in Jonesboro, Arkansas

Provider Information

NPI Number: 1386770030
Entity Type: Organization
Organization Name: State Pf Arkansas
Primary Specialty: Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Enumeration Date: Feb 26, 2007
Last Updated: Aug 16, 2023

Practice Location

Address: 4701 COLONY DR
City: Jonesboro
State: Arkansas
ZIP Code: 72404-9317
Phone: (870) 932-4043

Authorized Official

Name: MRS. THERESIA DIANE KEITH
Title: SUPERINTENDENT
Phone: (870) 932-4043

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Residential Treatment Facility, Intellectual and/or Developmental Disabilities	320600000X	Primary

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