Youthbridge
NPI #1912314972 in Fayettville, Arkansas
Provider Information
- NPI Number
- 1912314972
- Entity Type
- Organization
- Organization Name
- Youthbridge
- Primary Specialty
- Community Based Residential Treatment Facility, Mental Illness
- Enumeration Date
- Jul 22, 2014
- Last Updated
- Jul 22, 2014
Practice Location
- Address
- 2153 E JOYCE BLVD
- City
- Fayettville
- State
- Arkansas
- ZIP Code
- 72703
- Phone
- (479) 575-9471
Authorized Official
- Name
- MISS MARILYN HOKE
- Title
- HUMAN RESOURCES
- Phone
- (479) 575-9471
Specialties & Taxonomy Codes
| Specialty |
|---|
| Community Based Residential Treatment Facility, Mental Illness |
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