Organization
KIDS FOR THE FUTURE ROGERS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RICHARD W WILDE ED.D. (CLINIC DIRECTOR)
(479) 986-5150
Entity
Organization
Contact information
Practice address
3307 N DIXIELAND RD, ROGERS, AR 72756-6816
(479) 986-5150
(479) 986-5191
Mailing address
PO BOX 130, ROGERS, AR 72757-0130
(479) 986-5150
(479) 986-5191
Taxonomy
Speciality
Code
Description
License number
State
261QD1600X
Developmental Disabilities Clinic/Center
Primary
25537
AR
Other
Enumeration date
03/14/2008
Last updated
03/14/2008
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