Ozark Community Bridge, LLC
NPI #1811648371 in Fayetteville, Arkansas
Provider Information
- NPI Number
- 1811648371
- Entity Type
- Organization
- Organization Name
- Ozark Community Bridge, LLC
- Primary Specialty
- Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
- Enumeration Date
- Jan 15, 2022
- Last Updated
- Jan 15, 2022
Practice Location
- Address
- 2705 N CLUB DR APT 9
- City
- Fayetteville
- State
- Arkansas
- ZIP Code
- 72703-4757
- Phone
- (207) 618-3784
Authorized Official
- Name
- NARCISSE MUGISHA
- Title
- CEO
- Phone
- (207) 618-3784
Specialties & Taxonomy Codes
| Specialty |
|---|
| Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
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