Organization
CONWAY COUNTY COMMUNITY SERVICE, INC
Active
Parent organization
CONWAY COUNTY COMMUNITY SERVICE, INC
Organization subpart
Yes
Provider details
NPI number
Legal business name
CONWAY COUNTY COMMUNITY SERVICE, INC
Authorized official
ANGELA LYNN WHEAT (PA/CREDENTIALING CLERK)
(501) 354-4589
Entity
Organization
Contact information
Practice address
605 EUREKA AVE STE C, BERRYVILLE, AR 72616-3035
(870) 929-6023
(870) 505-2003
Mailing address
PO BOX 679, MORRILTON, AR 72110-0679
(501) 354-4589
(501) 354-5410
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
07/03/2024
Last updated
07/03/2024
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