NPI 1104077676
Northeast Arkansas Community Mental Health Center INC
Practice location
- Address
- 602 David St, Corning, AR 72422-7268
- Phone
- (870) 857-3655
- Fax
- (870) 972-4911
- Mailing address
- 2707 Browns Ln, Jonesboro, AR 72401-7213
Authorised official
- Name
- Donnie Lyerly
- Title
- Provider Credentialing
- Phone
- (870) 972-4939
Registered specialties (2)
Community/Behavioral Health Agency
Primary
Addiction (Substance Use Disorder) Counselor
Registry record
- NPI
- 1104077676
- Entity type
- Organization
- NPI issued
- 2 Oct 2008
- Record last updated
- 22 Apr 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.