Organization
CONWAY COUNTY COMMUNITY SERVICE INC.
Active
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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