# ADULT DEVELOPMENT CENTER OF BENTON CO., INC. DBA OPEN AVENUES

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Open Avenues
- **Organization subpart:** No

## Provider details

- **NPI number:** 1407151087
- **Authorized official:** MS. BRENDA K. NEAL (EXECUTIVE DIRECTOR)
- **Authorized official phone:** (479) 636-5082

## Contact information

- **Practice address:** 2202 N 24TH ST, ROGERS, AR 72756-2304
- **Practice address phone:** (479) 636-5082
- **Practice address fax:** (479) 636-5671
- **Mailing address:** PO BOX 908, ROGERS, AR 72757-0908
- **Mailing address phone:** (479) 636-5082
- **Mailing address fax:** (479) 636-5671

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225X00000X | Occupational Therapist | — | NULL | Yes |
| 225X00000X | Occupational Therapist | — | — | Yes |

## Other

- **Enumeration date:** 01/13/2011
- **Last updated:** 01/13/2011
