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Organization

MAINLINE HEALTH SYSTEMS INC

Active
Other names
Warren High School Behavioral Health Clinic
Organization subpart
No

Provider details

NPI number
Authorized official
GARY ALLAN NICHOLS (CEO)
(870) 942-3000
Entity
Organization

Contact information

Practice address
803 N WALNUT ST RM 214, WARREN, AR 71671-2008
(870) 226-6754
(870) 226-7925
Mailing address
PO BOX 509, DERMOTT, AR 71638-0509
(870) 942-3000
(870) 538-5412

Taxonomy

Speciality
Code
Description
License number
State
103TB0200X
Cognitive & Behavioral Psychologist
261QF0400X
Federally Qualified Health Center (FQHC)
Primary

Other

Enumeration date
11/01/2023
Last updated
05/15/2025
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