State of Arkansas
NPI #1407988355 in Arkadelphia, Arkansas
Provider Information
- NPI Number
- 1407988355
- Entity Type
- Organization
- Organization Name
- State of Arkansas
- Primary Specialty
- Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
- Enumeration Date
- Mar 9, 2007
- Last Updated
- Jun 26, 2008
Practice Location
- Address
- 1 PRATOR DRIVE
- City
- Arkadelphia
- State
- Arkansas
- ZIP Code
- 71923
- Phone
- (870) 246-8011
Authorized Official
- Name
- MS. MARGARET GREEN
- Title
- SUPERINTENDENT
- Phone
- (870) 246-8011
Specialties & Taxonomy Codes
| Specialty |
|---|
| Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
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