Organization
DANA'S HOUSE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JON C HORNBECK (EXECUTIVE DIRECTOR)
(870) 509-1675
Entity
Organization
Contact information
Practice address
108 S JEFFERSON ST, DE WITT, AR 72042-1929
(870) 509-1675
(870) 946-8303
Mailing address
PO BOX 138, DE WITT, AR 72042-0138
(870) 946-8303
(870) 946-8217
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
1041C0700X
Clinical Social Worker
—
—
251S00000X
Community/Behavioral Health Agency
—
—
253J00000X
Foster Care Agency
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
230911744
—
AR
Enumeration date
09/25/2008
Last updated
01/20/2025
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