| New Equinox Inc | |
|
240 N Block Ave Fayetteville AR 72701-5253 | |
| (907) 388-3465 | |
| Not Available |
| Full Name | New Equinox Inc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 240 N Block Ave, Fayetteville, Arkansas |
| Authorized Official Name and Position | Camille Boswell (PROFESSIONAL COUNSELOR/OWNER) |
| Authorized Official Contact | 5034424369 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| New Equinox Inc Po Box 324 Fayetteville AR 72702-0324 Ph: (479) 310-0061 | New Equinox Inc 240 N Block Ave Fayetteville AR 72701-5253 Ph: (907) 388-3465 |
| NPI Number | 1003614090 |
|---|---|
| Provider Enumeration Date | 03/05/2025 |
| Last Update Date | 03/07/2025 |
| Certification Date | 03/07/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003614090 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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