Organization
INNOVATIVE PSYCHOLOGICAL SERVICES, INC.
Active
Organization
INNOVATIVE PSYCHOLOGICAL SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. YOUSEF ARFAN FAHOUM DRPH, MA, LPE-I (INCORPORATOR/ORGANIZER)
(501) 238-6560
Entity
Organization
Contact information
Practice address
2215 WILDWOOD AVE, SHERWOOD, AR 72120-5089
(501) 238-6560
Mailing address
PO BOX 241967, LITTLE ROCK, AR 72223-0037
(501) 238-6560
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
09/14/2017
Last updated
03/17/2018
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