NPI 1093840282

State of Arkansas

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

Practice location

Address: 150 Siebenmorgen Rd, Conway, AR 72032
Phone: (501) 329-6851
Fax: (501) 336-0508

Authorised official

Name: Sally Sellers
Title: Business Operations Manager
Phone: (501) 329-6851

Registered specialties

Intellectual and/or Developmental Disabilities Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 320600000X Licence 139 (AR)

Other Residential Treatment Facility, Intellectual and/or Developmental Disabilities providers in Arkansas →

Registry record

NPI: 1093840282
Entity type: Organization
NPI issued: 21 Feb 2007
Record last updated: 24 Aug 2023

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.