Organization
OUR BROTHER'S KEEPER WELLNESS ORGANIZATION
Active
Other names
Our Brother's Keeper Wellness Organization
Organization subpart
No
Provider details
NPI number
Authorized official
TANYA MARYIE BELL-BROOKS (EXECUTIVE DIRECTOR)
(501) 412-2268
Entity
Organization
Contact information
Practice address
7101 W 12TH ST STE 200I, LITTLE ROCK, AR 72204-2404
(501) 647-1042
Mailing address
PO BOX 46346, LITTLE ROCK, AR 72214-6346
(501) 647-1042
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
Other
Enumeration date
07/29/2021
Last updated
07/29/2021
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