Organization
YOUTH HOME INCORPORATED
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SCEALITA DRENNON (BEHAVIOR SPECIALIST)
(501) 663-7667
Entity
Organization
Contact information
Practice address
5109 W 23RD ST, LITTLE ROCK, AR 72204-5101
(501) 663-7667
Mailing address
5109 W 23RD ST, LITTLE ROCK, AR 72204-5101
Taxonomy
Speciality
Code
Description
License number
State
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
—
—
Other
Enumeration date
09/04/2007
Last updated
09/04/2007
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