Organization
CONWAY COUNTY COMMUNITY SERVICE INC.
Active
Other names
Mountain View
Organization subpart
No
Provider details
NPI number
Authorized official
ANGELA LYNN WHEAT (PA/CREDENTIALING CLERK)
(501) 354-4589
Entity
Organization
Contact information
Practice address
200 S PEABODY AVE, MOUNTAIN VIEW, AR 72560-6311
(870) 269-6635
(870) 269-6632
Mailing address
PO BOX 679, MORRILTON, AR 72110-0679
(501) 354-4589
(501) 354-5410
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
04/16/2019
Last updated
03/03/2021
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