Organization
UP AND UP DAY TREATMENT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TOM GRUNDEN (EXECUTIVE DIRECTOR)
(501) 686-9300
Entity
Organization
Contact information
Practice address
3601 WEST ROOSEVELT RD, LITTLE ROCK, AR 72204
(501) 686-9300
(501) 686-9618
Mailing address
4400 SHUFFIELD DR, LITTLE ROCK, AR 72205
(501) 686-9300
(501) 686-9618
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
137442726
—
AR
Enumeration date
01/02/2009
Last updated
01/02/2009
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