Conway County Community Service, INC

NPI #1699360420 in Berryville, Arkansas

Provider Information

NPI Number
1699360420
Entity Type
Organization
Organization Name
Conway County Community Service, INC
Primary Specialty
Community/Behavioral Health
Enumeration Date
Mar 3, 2021
Last Updated
Mar 3, 2021

Practice Location

Address
804 W FREEMAN AVE
ZIP Code
72616-3106
Phone
(870) 280-3468

Authorized Official

Name
ANGELA LYNN WHEAT
Title
PA/CREDENTIALING CLERK
Phone
(501) 354-4589

Specialties & Taxonomy Codes

Specialty
Community/Behavioral Health

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Provider Name
Conway County Community Service, INC

Part of Conway County Community Service, INC

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