Organization
GLEN M ADAMS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GLEN M ADAMS PSYD (PRESIDENT/OWNER)
(501) 305-1245
Entity
Organization
Contact information
Practice address
1120 S MAIN ST, SEARCY, AR 72143-7319
(501) 305-1245
(501) 279-4319
Mailing address
PO BOX 090110, MILWAUKEE, WI 53209-0110
(888) 675-2364
(414) 247-9004
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
00-06P
AR
Other
Enumeration date
06/11/2009
Last updated
06/11/2009
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