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Organization

HOLDEN PSYCHIATRIC INSTITUTE, PA

Active
Other names
Holden Institute
Organization subpart
No

Provider details

NPI number
Authorized official
RANDY H JENKINS (OFFICE MANAGER)
(479) 367-2552
Entity
Organization

Contact information

Practice address
2707 SE G ST, BENTONVILLE, AR 72712-3740
(147) 936-7255
(479) 367-2584
Mailing address
2707 SE G ST, BENTONVILLE, AR 72712-3740
(479) 367-2552
(479) 367-2584

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100080220A
OK
05
118344001
AR
05
1891880373
MO
Enumeration date
04/23/2008
Last updated
06/11/2025
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