Adult Development Center of Benton Co., Inc. DBA Open Avenues

NPI #1407151087 in Rogers, Arkansas

Provider Information

NPI Number: 1407151087
Entity Type: Organization
Organization Name: Adult Development Center of Benton Co., Inc. DBA Open Avenues
Primary Specialty: Occupational Therapist
Enumeration Date: Jan 13, 2011
Last Updated: Jan 13, 2011

Practice Location

Address: 2202 N 24TH ST
City: Rogers
State: Arkansas
ZIP Code: 72756-2304
Phone: (479) 636-5082

Authorized Official

Name: MS. BRENDA K. NEAL
Title: EXECUTIVE DIRECTOR
Phone: (479) 636-5082

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Occupational Therapist	225X00000X	Primary

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