Organization
CARTER'S CREW
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMBER GOVAN (EXECUTIVE DIRECTOR)
(501) 310-9559
Entity
Organization
Contact information
Practice address
6807 W 12TH ST STE A, LITTLE ROCK, AR 72204-2467
(501) 618-0997
Mailing address
6807 W 12TH ST STE A, LITTLE ROCK, AR 72204-2467
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
—
—
171M00000X
Case Manager/Care Coordinator
Primary
—
—
175T00000X
Peer Specialist
—
—
251B00000X
Case Management Agency
—
—
Other
Enumeration date
04/06/2023
Last updated
04/06/2023
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