Organization
WESTERN ARKANSAS COUNSELING & GUIDANCE CENTER, INC.-31ST STREET CLINIC
Active
Organization
WESTERN ARKANSAS COUNSELING & GUIDANCE CENTER, INC.-31ST STREET CLINIC
Active
Parent organization
WESTERN ARKANSAS COUNSELING & GUIDANCE CENTER, INC.
Other names
WACGC - 31st Street Clinic
Organization subpart
Yes
Provider details
NPI number
Legal business name
WESTERN ARKANSAS COUNSELING & GUIDANCE CENTER, INC.
Authorized official
MR. JIM WEST LCSW (CEO)
(479) 452-6650
Entity
Organization
Contact information
Practice address
2100 N 31ST ST, FORT SMITH, AR 72904-6140
(479) 452-6650
(479) 785-9495
Mailing address
PO BOX 11818, FORT SMITH, AR 72917-1818
(479) 452-6650
(479) 785-9495
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
181576526
—
AR
Enumeration date
01/18/2010
Last updated
10/03/2011
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