Rivendell - Outreach Arkadelphia
NPI #1568782894 in Arkadelphia, Arkansas
Provider Information
- NPI Number
- 1568782894
- Entity Type
- Organization
- Organization Name
- Rivendell - Outreach Arkadelphia
- Primary Specialty
- Community/Behavioral Health
- Enumeration Date
- Jun 9, 2010
- Last Updated
- Jun 9, 2010
Practice Location
- Address
- 2749 PINE ST
- Address 2
- SUITE B
- City
- Arkadelphia
- State
- Arkansas
- ZIP Code
- 71923-4205
- Phone
- (870) 403-0830
Authorized Official
- Name
- DUANE RUNYAN, PH.D.
- Title
- CEO
- Phone
- (501) 316-1255
Specialties & Taxonomy Codes
| Specialty |
|---|
| Community/Behavioral Health |
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