Organization
SUPPORTIVE PSYCH CARE OF ARKANSAS PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DOV NEWMARK (PRESIDENT)
(718) 298-2753
Entity
Organization
Contact information
Practice address
811 W ELGIN ST, SILOAM SPRINGS, AR 72761-2327
(718) 298-2753
Mailing address
27 RANDOLPH RD, HOWELL, NJ 07731-8611
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
—
—
1041C0700X
Clinical Social Worker
—
—
2084P0800X
Psychiatry Physician
Primary
—
—
Other
Enumeration date
08/09/2022
Last updated
08/09/2022
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