Organization
MUNETON FOUNDATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CARLA GRANTT (PROGRAM DIRECTOR)
(646) 248-2080
Entity
Organization
Contact information
Practice address
104 KINROSS DR, BELLA VISTA, AR 72715-4604
(646) 248-2080
Mailing address
555 WILLIS LN, PEA RIDGE, AR 72751-3235
(646) 248-2080
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
—
—
251B00000X
Case Management Agency
—
—
251S00000X
Community/Behavioral Health Agency
—
—
324500000X
Substance Abuse Rehabilitation Facility
—
—
344600000X
Taxi
—
—
347C00000X
Private Vehicle
—
—
Other
Enumeration date
01/03/2026
Last updated
01/03/2026
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