NPI 1932574431

Felicia Reynolds-Johnson

Practitioner Emotionally Disturbed Childrens' Residential Treatment Facility Little Rock, AR

Practice location

Address: 20400 Colonel Glenn Rd, Little Rock, AR 72210-5323
Phone: (501) 821-5500
Fax: (501) 821-5580

Registered specialties

Emotionally Disturbed Childrens' Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 322D00000X

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Registry record

NPI: 1932574431
Entity type: Individual
Sex (as registered): Female
NPI issued: 9 Dec 2015
Record last updated: 9 Dec 2015

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.