Organization
ARKANSAS SUPPORT NETWORK, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DANIEL M MARINO CPA (CFO/DIRECTOR OF HR)
(479) 927-4100
Entity
Organization
Contact information
Practice address
6836 ISSACS ORCHARD RD, SPRINGDALE, AR 72762-6096
(479) 927-4100
(479) 927-4101
Mailing address
6836 ISSACS ORCHARD RD, SPRINGDALE, AR 72762-6096
(479) 927-4100
(479) 927-4101
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
132624786
DDS/FAMILTY SUPPORT
AR
01
—
194931706
ARKANSAS AUTISM PROGRAM
AR
Enumeration date
08/09/2019
Last updated
08/09/2019
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