Dardanelle Regional Outpatient Behavioral Clinic | |
215 N 4th St Dardanelle AR 72834-3713 | |
(479) 229-6192 | |
(479) 229-6182 |
Full Name | Dardanelle Regional Outpatient Behavioral Clinic |
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Speciality | Psychiatry & Neurology - Psychiatry |
Location | 215 N 4th St, Dardanelle, Arkansas |
Authorized Official Name and Position | Stephanie Cothran (BUSINESS OFFICE ASSOCIATE MANAGER) |
Authorized Official Contact | 5017452122 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Dardanelle Regional Outpatient Behavioral Clinic 200 N 3rd St Dardanelle AR 72834-3802 Ph: (479) 229-6192 | Dardanelle Regional Outpatient Behavioral Clinic 215 N 4th St Dardanelle AR 72834-3713 Ph: (479) 229-6192 |
NPI Number | 1588212831 |
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Provider Enumeration Date | 08/29/2019 |
Last Update Date | 03/05/2020 |
Certification Date | 03/05/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1588212831 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
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