Civitan Center

NPI #1508917295 in Benton, Arkansas

Provider Information

NPI Number
1508917295
Entity Type
Organization
Organization Name
Civitan Center
Primary Specialty
Day Training, Developmentally Disabled Services
Enumeration Date
Jan 16, 2007
Last Updated
Mar 10, 2014

Practice Location

Address
121 SOUTH COX STREET
Address 2
121 SOUTH COX STREET
City
Benton
ZIP Code
72018-0368
Phone
(501) 776-0691

Authorized Official

Name
MRS. LEAH L. HENDERSON, MSE-ECSE
Title
EXECUTIVE DIRECTOR
Phone
(501) 776-0691

Specialties & Taxonomy Codes

Specialty
Day Training, Developmentally Disabled Services

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