Organization
THE TELOS CLINIC L.L.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ZACHERY OTWELL (OWNER)
(501) 944-0659
Entity
Organization
Contact information
Practice address
11917 SAINT CHARLES BLVD, LITTLE ROCK, AR 72211-2319
(501) 944-0659
Mailing address
11917 SAINT CHARLES BLVD, LITTLE ROCK, AR 72211-2319
(501) 944-0659
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
11/24/2023
Last updated
11/24/2023
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