| Strive Program | |
|
4701 Fairway Ave North Little Rock AR 72116 | |
| (501) 771-8261 | |
| (501) 771-8263 |
| Full Name | Strive Program |
|---|---|
| Speciality | Psychiatry & Neurology - Child & Adolescent Psychiatry |
| Location | 4701 Fairway Ave, North Little Rock, Arkansas |
| Authorized Official Name and Position | Amanda D George (VICE CHANCELLOR-CHIEF FINANCIAL OFF) |
| Authorized Official Contact | 5016865670 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Strive Program Po Box 251420 Little Rock AR 72225-1420 Ph: (501) 686-8000 | Strive Program 4701 Fairway Ave North Little Rock AR 72116 Ph: (501) 771-8261 |
| NPI Number | 1750456638 |
|---|---|
| Provider Enumeration Date | 11/23/2006 |
| Last Update Date | 11/30/2022 |
| Certification Date | 11/30/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750456638 | NPI | - | NPPES |
| 156979526 | Medicaid | AR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0804X | Psychiatry & Neurology - Child & Adolescent Psychiatry | (* (Not Available)) | Primary |
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