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Organization
HRA
Active
Organization
HRA
Active
Parent organization
HRA
Other names
EASAP
Organization subpart
Yes
Provider details
NPI number
Legal business name
HRA
Authorized official
MR. STEVE GLENN WILKERSON CADC (ALCOHOL / DRUG COUNSELOR)
18705723733
Entity
Organization
Contact information
Practice address
2426 HWY 49, WEST HELENA, AR 72390
(870) 572-3733
(870) 572-3785
Mailing address
2426 HWY 49, WEST HELENA, AR 72390
(870) 572-3733
(879) 572-3785
Taxonomy
Speciality
Code
Description
License number
State
302F00000X
Exclusive Provider Organization
Primary
—
NULL
Other
Enumeration date
07/07/2011
Last updated
07/07/2011
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