NPI 1811648371

Ozark Community Bridge, LLC

Organisation Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Fayetteville, AR

Practice location

Address: 2705 N Club Dr APT 9, Fayetteville, AR 72703-4757
Phone: (207) 618-3784

Authorised official

Name: Narcisse Mugisha
Title: Ceo
Phone: (207) 618-3784

Registered specialties

Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 320900000X

Other Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities providers in Arkansas →

Registry record

NPI: 1811648371
Entity type: Organization
NPI issued: 15 Jan 2022
Record last updated: 15 Jan 2022

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.