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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