Organization
VETERANS ADMINISTRATION MEDICAL CENTER
Active
Other names
VA Mental Health Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CINDY FARMER (COMPLIANCE OFFICER)
(479) 444-4301
Entity
Organization
Contact information
Practice address
1100 N COLLEGE AVE, FAYETTEVILLE, AR 72703-1944
(479) 444-5048
(479) 444-5039
Mailing address
2932 N BLUEGRASS PL, FAYETTEVILLE, AR 72704-6032
(479) 841-7562
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
P8812027
AR
Other
Enumeration date
10/23/2006
Last updated
08/22/2020
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