# CHUCKS DEVELOPEMENTAL OUTREACH INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Chucks Developemental Outreach Inc
- **Organization subpart:** No

## Provider details

- **NPI number:** 1679701775
- **Authorized official:** MR. CHARLES ROBERSON DEVELOPEMENTAL THERP (CEO)
- **Authorized official phone:** (870) 879-6149

## Contact information

- **Practice address:** 2300 OUACHITA 4, STEPHENS, AR 71764-9196
- **Practice address phone:** (807) 879-6149
- **Practice address fax:** (870) 879-1998
- **Mailing address:** 2300 OUACHITA 4 RD, STEPHENS, AR 71764
- **Mailing address phone:** (870) 879-6149
- **Mailing address fax:** (870) 879-1998

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 320600000X | Intellectual and/or Developmental Disabilities Residential Treatment Facility | — | AR | Yes |

## Other

- **Enumeration date:** 06/26/2009
- **Last updated:** 06/26/2009
