Organization
BEANS THERAPY AND SPECIAL NEEDS CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PATRICK BEAN (OWNER)
(870) 933-1989
Entity
Organization
Contact information
Practice address
1220 STONE ST, JONESBORO, AR 72401-4519
(870) 933-1989
(870) 268-6705
Mailing address
1220 STONE ST, JONESBORO, AR 72401-4519
(870) 933-1989
(870) 268-6705
Taxonomy
Speciality
Code
Description
License number
State
302F00000X
Exclusive Provider Organization
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0000
—
AR
Enumeration date
10/04/2013
Last updated
10/04/2013
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