Organization
GRACE HAVEN MINISTRIES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANNIE MARTIN (DIRECTOR OF FAMILY SERVICES)
(479) 633-2288
Entity
Organization
Contact information
Practice address
1709 JOHNSON RD, SPRINGDALE, AR 72762-6022
(501) 420-4515
Mailing address
PO BOX 956, ROGERS, AR 72757-0956
(501) 420-4515
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
251V00000X
Voluntary or Charitable Agency
—
—
Other
Enumeration date
04/04/2017
Last updated
04/04/2017
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