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Organization
STATE OF ARKANSAS
Active
Organization
STATE OF ARKANSAS
Active
Other names
AR MENTAL HEALTH SVCS
Organization subpart
No
Provider details
NPI number
Authorized official
STEVEN HENSON PD (HOSPITAL ADMINISTRATOR)
(501) 251-6400
Entity
Organization
Contact information
Practice address
305 S PALM ST, LITTLE ROCK, AR 72205-5432
(501) 686-9047
(507) 686-9669
Mailing address
305 S PALM ST, LITTLE ROCK, AR 72205-5432
(501) 686-9048
(507) 686-9669
Taxonomy
Speciality
Code
Description
License number
State
3336I0012X
Institutional Pharmacy
Primary
HP00020
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
114301125
—
AR
01
—
1989601
PK
—
Enumeration date
06/21/2006
Last updated
06/17/2016
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