Organization
MED
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ERIC G WARE (OWNER)
(501) 240-5748
Entity
Organization
Contact information
Practice address
1604 MERRILL DR, LITTLE ROCK, AR 72211-1818
(501) 240-5748
Mailing address
1604 MERRILL DR, LITTLE ROCK, AR 72211-1818
(501) 240-5748
Taxonomy
Speciality
Code
Description
License number
State
101YP1600X
Pastoral Counselor
Primary
—
AR
Other
Enumeration date
08/16/2011
Last updated
08/16/2011
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