Organization
OZARK GUIDANCE CENTER, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PATRICIA YABLONSKI (CREDENTIALING SPECIALIST)
(479) 725-5140
Entity
Organization
Contact information
Practice address
2400 S 48TH ST, SPRINGDALE, AR 72762-6683
(479) 750-2020
(479) 750-4843
Mailing address
2400 S 48TH ST, SPRINGDALE, AR 72762-6683
(479) 750-2020
(479) 751-4346
Taxonomy
Speciality
Code
Description
License number
State
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
—
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
114618125
—
AR
Enumeration date
07/19/2005
Last updated
07/21/2022
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