Organization
UNITED METHODIST CHILDREN'S HOME
Active
Other names
Day Treatment
Organization subpart
No
Provider details
NPI number
Authorized official
REGINA GIDEON (CREDENTIALING COORDINATOR)
(501) 661-0720
Entity
Organization
Contact information
Practice address
410 RIVER ST, BENTON, AR 72015-4206
(501) 661-0720
Mailing address
PO BOX 56050, LITTLE ROCK, AR 72215-6050
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
11/11/2013
Last updated
11/11/2013
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