NPI 1033344379
Conway County Community Service INC
Practice location
- Address
- 106 Cherokee Ln, Clarksville, AR 72830-8014
- Phone
- (479) 754-7296
- Fax
- (479) 754-8919
Authorised official
- Name
- Angela Lynn Wheat
- Title
- Pa/Credentialing Clerk
- Phone
- (501) 354-4589
Registered specialties
Community/Behavioral Health Agency
Primary
Registry record
- NPI
- 1033344379
- Entity type
- Organization
- NPI issued
- 15 May 2009
- Record last updated
- 3 Mar 2021
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.