Organization
REFORM, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MELRITA JOHNSON (OWNER)
(870) 510-5031
Entity
Organization
Contact information
Practice address
807 W 6TH AVE, PINE BLUFF, AR 71601-4031
(870) 510-5031
(501) 421-3418
Mailing address
PO BOX 2077, PINE BLUFF, AR 71613-2077
(870) 510-5031
(501) 421-3418
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
09/03/2020
Last updated
05/20/2021
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