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Organization

OZARK MOUNTAIN ALCOHOL RESIDENTIAL TREATMENT, INC,.

Active
Other names
OMART, Inc.
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. DARLENE E PRINE CADC (EXECUTIVE DIRECTOR)
(870) 435-6200
Entity
Organization

Contact information

Practice address
116 SNOWBALL DR, GASSVILLE, AR 72635
(870) 435-6200
Mailing address
PO BOX 188, GASSVILLE, AR 72635-0188
(870) 435-6200

Taxonomy

Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
00059
AR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
D14714
STATE OF ARKANSAS OFFICE OF ALCOHOL AND DRUG ABUSE PREVENTION
AR
Enumeration date
04/05/2011
Last updated
04/05/2011
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