Organization
RIVENDELL - OUTREACH ARKADELPHIA
Active
Other names
UHS of Benton
Organization subpart
No
Provider details
NPI number
Authorized official
DUANE RUNYAN PH.D. (CEO)
(501) 316-1255
Entity
Organization
Contact information
Practice address
2749 PINE ST, SUITE B, ARKADELPHIA, AR 71923-4205
(870) 403-0830
Mailing address
2749 PINE ST, SUITE B, ARKADELPHIA, AR 71923-4205
(870) 403-0830
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
06/09/2010
Last updated
06/09/2010
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