Organization
NXGEN STARS- AR
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KENDRA P BOYLE (CHIEF OPERATING OFFICER)
(501) 348-2210
Entity
Organization
Contact information
Practice address
900 S SHACKLEFORD RD STE 300, LITTLE ROCK, AR 72211-3848
(501) 348-2210
(501) 991-0090
Mailing address
12 TRACY AUSTIN CT, LITTLE ROCK, AR 72210-5770
(501) 348-2210
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
Other
Enumeration date
10/20/2023
Last updated
01/09/2024
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