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Organization
VETCORE22
Active
Organization
VETCORE22
Active
Other names
vetcore22
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JEREMY WAYNE DARR (PRESIDENT)
(870) 243-9366
Entity
Organization
Contact information
Practice address
1903 JEAN DR, JONESBORO, AR 72404-8949
(870) 243-9366
Mailing address
5005 WOODSPRINGS RD, JONESBORO, AR 72404-9242
(870) 243-9366
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
106S00000X
Behavior Technician
—
—
174200000X
Meals Provider
—
—
177F00000X
Lodging Provider
—
—
251300000X
Local Education Agency (LEA)
—
—
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
251S00000X
Community/Behavioral Health Agency
—
—
252Y00000X
Early Intervention Provider Agency
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
286500000X
Military Hospital
—
—
Other
Enumeration date
02/23/2023
Last updated
02/23/2023
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