Whalio Doctors

NPI 1184848202

Cedar Ridge, INC

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

Practice location

Address
107 Thicksten Dr, Alma, AR 72921
Phone
(479) 632-3813
Fax
(479) 632-8986
Mailing address
107 Thicksten Dr P.O. Box 2389, Alma, AR 72921

Authorised official

Name
Toni D Wilson
Title
Executive Director
Phone
(479) 632-3813

Registered specialties

Intellectual and/or Developmental Disabilities Residential Treatment Facility Primary
Residential Treatment Facilities Taxonomy 320600000X Licence 04-G030 (AR)

Registry record

NPI
1184848202
Entity type
Organization
NPI issued
12 Apr 2007
Record last updated
22 Aug 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.