Organization
UHS OF BENTON, INC.
Active
Other names
Rivendell Behavioral Health Services of AR
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SCOTT WILLIAMS (CEO)
(501) 316-1255
Entity
Organization
Contact information
Practice address
750 BRIDGES AVE E STE A, WYNNE, AR 72396-2343
(501) 316-1255
(501) 316-0908
Mailing address
750 BRIDGES AVE E STE A, WYNNE, AR 72396-2343
(501) 316-1255
(501) 316-0908
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
167275526
—
AR
Enumeration date
05/06/2008
Last updated
05/06/2008
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