Whalio Doctors

NPI 1003448309

Spectrum Living Solutions

Organisation Community/Behavioral Health Agency Fayetteville, AR

Practice location

Address
3677 W Weir Rd, Fayetteville, AR 72704-5906
Phone
(479) 871-2481
Mailing address
4375 N Vantage Dr STE 104, Fayetteville, AR 72703-4986

Authorised official

Name
Ashton P McCombs
Title
Board Chairman
Phone
(630) 248-8892

Registered specialties

Community/Behavioral Health Agency Primary
Agencies Taxonomy 251S00000X

Registry record

NPI
1003448309
Entity type
Organization
NPI issued
5 Feb 2020
Record last updated
5 Feb 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.