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Organization
PATHTAKER
Active
Organization
PATHTAKER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PETER ROMANO LPC (CEO)
(501) 365-1127
Entity
Organization
Contact information
Practice address
883 DONNIE STEVENS RD, JUDSONIA, AR 72081-9235
(501) 365-1127
Mailing address
883 DONNIE STEVENS RD, JUDSONIA, AR 72081-9235
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
10/28/2024
Last updated
10/28/2024
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