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Organization
VISTA HEALTH DAY TREATMENT
Active
Organization
VISTA HEALTH DAY TREATMENT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JAMIA SHAUNT'E FISHER M.H.P.P. (MENTAL HEALTH PARAPROFESSIONAL)
(479) 521-5731
Entity
Organization
Contact information
Practice address
4253 N CROSSOVER RD, FAYETTEVILLE, AR 72703-4593
(479) 521-5731
(479) 521-6520
Mailing address
4253 N CROSSOVER RD, FAYETTEVILLE, AR 72703-4593
(479) 521-5731
(479) 521-6520
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
05/07/2007
Last updated
08/22/2020
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