| Southeast Arkansas Behavioral Healthcare System | |
|
612 E Arkansas St Star City AR 71667-4842 | |
| (870) 628-4181 | |
| (870) 628-5369 |
| Full Name | Southeast Arkansas Behavioral Healthcare System |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 612 E Arkansas St, Star City, Arkansas |
| Authorized Official Name and Position | Clarence Perkins (PRESIDENT, CEO) |
| Authorized Official Contact | 8705341834 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Southeast Arkansas Behavioral Healthcare System 2500 Rike Dr Pine Bluff AR 71603-3937 Ph: (870) 534-1834 | Southeast Arkansas Behavioral Healthcare System 612 E Arkansas St Star City AR 71667-4842 Ph: (870) 628-4181 |
| NPI Number | 1235384009 |
|---|---|
| Provider Enumeration Date | 11/20/2008 |
| Last Update Date | 01/06/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235384009 | NPI | - | NPPES |
| 137459726 | Medicaid | AR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |