| Sgoh Acquisition Inc | |
|
1101 Jackson St Sw Gravette AR 72736-9121 | |
| (479) 787-5291 | |
| (479) 787-7890 |
| Full Name | Sgoh Acquisition Inc |
|---|---|
| Speciality | Psychiatric Unit |
| Location | 1101 Jackson St Sw, Gravette, Arkansas |
| Authorized Official Name and Position | Paul G Taylor (CEO) |
| Authorized Official Contact | 4178374090 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sgoh Acquisition Inc 1101 Jackson St Sw Gravette AR 72736-9121 Ph: (479) 787-5291 | Sgoh Acquisition Inc 1101 Jackson St Sw Gravette AR 72736-9121 Ph: (479) 787-5291 |
| NPI Number | 1356588255 |
|---|---|
| Provider Enumeration Date | 01/14/2009 |
| Last Update Date | 01/14/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356588255 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 273R00000X | Psychiatric Unit | AR4517 (Arkansas) | Primary |
Designed For Life Counseling & Consulting Services, Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 201 Irving St Sw, Gravette, AR 72736 Phone: 479-295-3625 | |
Linnberry Wellness Center Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 20655 Russell Corner Rd, Gravette, AR 72736 Phone: 479-366-2279 | |
Sgoh Acquisition Inc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 1101 Jackson St Sw, Gravette, AR 72736 Phone: 479-787-5291 Fax: 479-344-6404 |