Organization
TBA TEXARKANA LLC
Active
Parent organization
AMICARE BEHAVIORAL CENTERS LLC
Other names
VISTA HEALTH TEXARKANA RSPMI
Organization subpart
Yes
Provider details
NPI number
Legal business name
AMICARE BEHAVIORAL CENTERS LLC
Authorized official
KYLE NAPLES (CEO)
(479) 521-1427
Entity
Organization
Contact information
Practice address
701 ARKANSAS BLVD, TEXARKANA, AR 71854-2105
(870) 772-5028
(870) 772-2138
Mailing address
3352 N FUTRALL DR, FAYETTEVILLE, AR 72703-4057
(479) 521-1427
(479) 521-6520
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
05/11/2012
Last updated
05/11/2012
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