Whalio Doctors

NPI 1699360420

Conway County Community Service, INC

Organisation Community/Behavioral Health Agency Berryville, AR

Practice location

Address
804 W Freeman Ave, Berryville, AR 72616-3106
Phone
(870) 280-3468
Mailing address
PO Box 679, Morrilton, AR 72110-0679

Authorised official

Name
Angela Lynn Wheat
Title
Pa/Credentialing Clerk
Phone
(501) 354-4589

Registered specialties

Community/Behavioral Health Agency Primary
Agencies Taxonomy 251S00000X

Registry record

NPI
1699360420
Entity type
Organization
NPI issued
3 Mar 2021
Record last updated
3 Mar 2021

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.