NPI 1023236163

State of Arkansas

Organisation Intellectual and/or Developmental Disabilities Residential Treatment Facility Warren, AR

Practice location

Address: 1 Center Cir, Warren, AR 71671-3033
Phone: (870) 226-6774
Fax: (870) 226-5361

Authorised official

Name: Mark Allen Wargo
Title: Dhs DDS Superintendent Hdc
Phone: (870) 226-6774

Registered specialties

Intellectual and/or Developmental Disabilities Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 320600000X

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Registry record

NPI: 1023236163
Entity type: Organization
NPI issued: 23 Apr 2007
Record last updated: 24 Oct 2022

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.