| Taking Charge | |
|
1116 S State St Pine Bluff AR 71601-5851 | |
| (870) 540-7769 | |
| (870) 247-1494 |
| Full Name | Taking Charge |
|---|---|
| Speciality | Psychologist - Cognitive & Behavioral |
| Location | 1116 S State St, Pine Bluff, Arkansas |
| Authorized Official Name and Position | Geneva Clark (COORDINATOR) |
| Authorized Official Contact | 8705407769 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Taking Charge Po Box 9802 Pine Bluff AR 71611-9802 Ph: (870) 540-7769 | Taking Charge 1116 S State St Pine Bluff AR 71601-5851 Ph: (870) 540-7769 |
| NPI Number | 1598996076 |
|---|---|
| Provider Enumeration Date | 08/02/2009 |
| Last Update Date | 08/02/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598996076 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TB0200X | Psychologist - Cognitive & Behavioral | (* (Not Available)) | Primary |
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