Organization
SOUTH ARKANSAS REGIONAL HEALTH CENTER PSY GRP
Active
Parent organization
SOUTH ARKANSAS REGIONAL HEALTH CENTER
Organization subpart
Yes
Provider details
NPI number
Legal business name
SOUTH ARKANSAS REGIONAL HEALTH CENTER
Authorized official
DR. WILLIAM C PEEL PHD (EXECUTIVE DIRECTOR)
(870) 862-7921
Entity
Organization
Contact information
Practice address
715 N COLLEGE AVE, EL DORADO, AR 71730-4403
(870) 862-7921
(870) 864-2490
Mailing address
715 N COLLEGE AVE, EL DORADO, AR 71730-4403
(870) 862-7921
(870) 864-2490
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
114601002
—
AR
01
—
56961
BLUE CROSS AND BLUE SHIEL
AR
Enumeration date
04/10/2007
Last updated
11/14/2008
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