Conway County Community Service Inc.

NPI #1851903157 in Rogers, Arkansas

Provider Information

NPI Number
1851903157
Entity Type
Organization
Organization Name
Conway County Community Service Inc.
Primary Specialty
Community/Behavioral Health
Enumeration Date
Aug 18, 2020
Last Updated
Mar 3, 2021

Practice Location

Address
1200 W WALNUT ST STE B1100
City
Rogers
ZIP Code
72756-3562
Phone
(479) 278-7028

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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