Organization
CONWAY COUNTY COMMUNITY SERVICE, INC
Active
Other names
Community Service, Inc-Melborne
Organization subpart
No
Provider details
NPI number
Authorized official
ANGELA LYNN WHEAT (PA/CREDENTIALING CLERK)
(501) 354-4589
Entity
Organization
Contact information
Practice address
24 E MAIN ST, MELBOURNE, AR 72556-5500
(870) 368-0026
Mailing address
PO BOX 679, MORRILTON, AR 72110-0679
(501) 354-4589
(501) 354-5410
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
03/03/2021
Last updated
03/03/2021
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