Organization
SOUTHEAST ARKANSAS BEHAVIORAL HEALTHCARE SYSTEM INC
Active
Organization
SOUTHEAST ARKANSAS BEHAVIORAL HEALTHCARE SYSTEM INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KATHY D HARRIS (PRESIDENT, CEO)
(870) 534-1834
Entity
Organization
Contact information
Practice address
2500 RIKE DRIVE, PINE BLUFF, AR 71603
(870) 534-1834
(870) 534-5798
Mailing address
2500 RIKE DRIVE, PINE BLUFF, AR 71603
(870) 534-1834
(870) 534-5798
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
116378726
—
AR
01
—
187327744
SATS MEDICAID
AR
Enumeration date
05/31/2006
Last updated
10/14/2013
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