NPI 1184911471

Hra

Organisation Exclusive Provider Organization West Helena, AR

Practice location

Address: 2426 Hwy 49, West Helena, AR 72390
Phone: (870) 572-3733
Fax: (870) 572-3785

Authorised official

Name: Steve Glenn Wilkerson
Title: Alcohol / Drug Counselor
Phone: (870) 572-3733

Registered specialties

Exclusive Provider Organization Primary

Managed Care Organizations Taxonomy 302F00000X

Other Exclusive Provider Organization providers in Arkansas →

Registry record

NPI: 1184911471
Entity type: Organization
NPI issued: 7 Jul 2011
Record last updated: 7 Jul 2011

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.