Whalio Doctors

NPI 1619161833

Consolidated Youth Services

Organisation Case Management Agency Jonesboro, AR

Practice location

Address
4220 Stadium Blvd, Jonesboro, AR 72404-9384
Phone
(870) 972-1110
Fax
(870) 972-5433

Authorised official

Name
Bonnie Sue Smith
Title
Exec. Director
Phone
(870) 972-1110

Registered specialties (2)

Case Management Agency Primary
Agencies Taxonomy 251B00000X
Community/Behavioral Health Agency
Agencies Taxonomy 251S00000X Licence 10011 (AR)

Registry record

NPI
1619161833
Entity type
Organization
NPI issued
30 Aug 2007
Record last updated
30 Aug 2007

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.