Whalio Doctors

NPI 1194016519

Balance Road PLLC

Organisation Community/Behavioral Health Agency Fayetteville, AR

Practice location

Address
1130 E Millsap Rd, Fayetteville, AR 72703-5150
Phone
(479) 422-2280
Fax
(479) 616-1618
Mailing address
PO Box 10348, Fayetteville, AR 72703-0041

Authorised official

Name
Dawna Bishop Stevens
Title
Owner Manager
Phone
(479) 422-2280

Registered specialties

Community/Behavioral Health Agency Primary
Agencies Taxonomy 251S00000X Licence 2535-C (AR)

Registry record

NPI
1194016519
Entity type
Organization
NPI issued
20 Apr 2011
Record last updated
20 Apr 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.