Organization
FROM THE BEGINNING CHMS CLINIC
Active
Organization
FROM THE BEGINNING CHMS CLINIC
Active
Other names
Sherry Bunch Inc
Organization subpart
No
Provider details
NPI number
Authorized official
SHERRY JOANN BUNCH LPE,LPC (EXECUTIVE DIRECTOR)
(870) 994-3103
Entity
Organization
Contact information
Practice address
120 NIX RIDGE RD, ASH FLAT, AR 72513-9017
(870) 994-3103
Mailing address
120 NIX RIDGE RD, ASH FLAT, AR 72513-9017
(870) 994-3103
Taxonomy
Speciality
Code
Description
License number
State
261QD1600X
Developmental Disabilities Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
150775724
—
AR
Enumeration date
03/13/2007
Last updated
06/16/2008
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