Organization
ABC CHILDREN'S ACADEMY & DEVELOPMENTAL CENTER-CLARKSVILLE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANA WARREN (OWNER)
(479) 968-1198
Entity
Organization
Contact information
Practice address
108 CHEROKEE LN, CLARKSVILLE, AR 72830-8014
(479) 647-5080
(479) 647-5081
Mailing address
500 E 3RD ST, RUSSELLVILLE, AR 72801-5204
(479) 968-5048
(479) 968-1498
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
30070
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
30070
LICENSE NUMBER
AR
Enumeration date
06/30/2016
Last updated
10/11/2021
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