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Organization

CONWAY COUNTY COMMUNITY SERVICE INC.

Active
Other names
Community Service Inc. - Conway Day Services
Organization subpart
No

Provider details

NPI number
Authorized official
ANGELA LYNN WHEAT (PA/CREDENTIALING CLERK)
(501) 354-4589
Entity
Organization

Contact information

Practice address
816 N CREEK DR, CONWAY, AR 72032-4711
(501) 329-5848
(501) 329-5848
Mailing address
816 N CREEK DR, CONWAY, AR 72032-4711
(501) 329-5848
(501) 329-5848

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary

Other

Enumeration date
05/14/2009
Last updated
03/03/2021
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