# AMERIS OF ARKANSAS, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Great River Residential Academy
- **Organization subpart:** No

## Provider details

- **NPI number:** 1104033976
- **Authorized official:** LUTHER RAMSAY (VICE PRESIDENT)
- **Authorized official phone:** (615) 327-4440

## Contact information

- **Practice address:** 611 W LEE AVE, OSCEOLA, AR 72370-3001
- **Practice address phone:** (870) 563-7000
- **Practice address fax:** (870) 838-7493
- **Mailing address:** 1114 17TH AVE S, NASHVILLE, TN 37212-2215
- **Mailing address phone:** (615) 327-4440
- **Mailing address fax:** (615) 327-0898

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 323P00000X | Psychiatric Residential Treatment Facility | 20102 | AR | Yes |

## Other

- **Enumeration date:** 05/17/2007
- **Last updated:** 08/22/2020