South Arkansas Regional Health Center Magnolia Clinic

NPI #1942412036 in Magnolia, Arkansas

Provider Information

NPI Number: 1942412036
Entity Type: Organization
Organization Name: South Arkansas Regional Health Center Magnolia Clinic
Subpart: Yes (part of a larger organization)
Parent Organization: SOUTH ARKANSAS REGIONAL HEALTH CENTER
Primary Specialty: Clinic/Center - Mental Health (Including Community Mental Health Center)
Enumeration Date: May 3, 2007
Last Updated: Nov 14, 2008

Practice Location

Address: 412 N VINE
City: Magnolia
State: Arkansas
ZIP Code: 71753-2842
Phone: (870) 234-7500

Authorized Official

Name: DR. WILLIAM C PEEL, PHD
Title: EXECUTIVE DIRECTOR
Phone: (870) 862-7921

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Mental Health (Including Community Mental Health Center) — Mental Health (Including Community Mental Health Center)	261QM0801X	Primary

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