Organization
CEDAR RIDGE, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. TONI D WILSON M.ED (EXECUTIVE DIRECTOR)
(479) 632-3813
Entity
Organization
Contact information
Practice address
107 THICKSTEN DR, ALMA, AR 72921
(479) 632-3813
(479) 632-8986
Mailing address
107 THICKSTEN DR, P.O. BOX 2389, ALMA, AR 72921
(479) 632-3813
(479) 632-8986
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
04-G030
AR
Other
Enumeration date
04/12/2007
Last updated
08/22/2020
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