Organization
MYLES BOYS RECOVERY, INC.
Active
Other names
Robert L. Myles, Jr.
Organization subpart
No
Provider details
NPI number
Authorized official
MS. PAMELA JOYCE RANDOLPH MS ICADC CCDP MHPP G (CHIEF OPERATING OFFICER)
(501) 265-0211
Entity
Organization
Contact information
Practice address
7101 W 12TH ST, SUITE 403, LITTLE ROCK, AR 72204-2404
(501) 265-0211
(501) 265-0292
Mailing address
7101 W 12TH ST, SUITE 403, LITTLE ROCK, AR 72204-2404
(501) 265-0211
(501) 265-0292
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
408-C
AR
251B00000X
Case Management Agency
D33222
AR
251S00000X
Community/Behavioral Health Agency
Primary
1404
AR
Other
Enumeration date
11/19/2008
Last updated
11/19/2008
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