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Organization
BUFFALO RIVER CLINIC INC
Active
Organization
BUFFALO RIVER CLINIC INC
Active
Other names
THE BUFFALO RIVER CLINIC, INC.
Organization subpart
No
Provider details
NPI number
Authorized official
DERAINEY RENE SMITH FNPC, PMHNPBC, DNP (OWNER)
(207) 387-3494
Entity
Organization
Contact information
Practice address
933 MC 6013, YELLVILLE, AR 72687-7595
(207) 385-3494
Mailing address
PO BOX 932, YELLVILLE, AR 72687-0932
Taxonomy
Speciality
Code
Description
License number
State
103TF0000X
Family Psychologist
Primary
—
—
163WP0808X
Psychiatric/Mental Health Registered Nurse
—
—
Other
Enumeration date
01/12/2016
Last updated
03/28/2016
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