Organization
TEEN CHALLENGE WOMEN'S MINISTRIES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SAMANTHA KATE RIGGS (CFO)
(479) 967-1428
Entity
Organization
Contact information
Practice address
618 S KNOXVILLE AVE, RUSSELLVILLE, AR 72801-6419
(479) 967-1428
Mailing address
618 S KNOXVILLE AVE, RUSSELLVILLE, AR 72801-6419
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
03/26/2019
Last updated
03/26/2019
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