| Short Mountain Lodge Cssp Llc | |
|
2721 W Walnut St Paris AR 72855-3642 | |
| (479) 963-2255 | |
| Not Available |
| Full Name | Short Mountain Lodge Cssp Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 2721 W Walnut St, Paris, Arkansas |
| Authorized Official Name and Position | Claude Bryant (REGIONAL ADMINISTRATOR) |
| Authorized Official Contact | 4796507083 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Short Mountain Lodge Cssp Llc 6500 Rye Hill Rd E Fort Smith AR 72916-8397 Ph: (479) 650-7083 | Short Mountain Lodge Cssp Llc 2721 W Walnut St Paris AR 72855-3642 Ph: (479) 963-2255 |
| NPI Number | 1194540534 |
|---|---|
| Provider Enumeration Date | 11/20/2024 |
| Last Update Date | 05/07/2025 |
| Certification Date | 05/07/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194540534 | NPI | - | NPPES |
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