Organization
ROSA'S THERAPEUTIC CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ROSE MARY THOMPSON LCSW (THERAPIST)
(501) 551-5980
Entity
Organization
Contact information
Practice address
10201 W MARKHAM ST STE 208, LITTLE ROCK, AR 72205-2181
(501) 551-5980
Mailing address
10201 W MARKHAM ST STE 208, LITTLE ROCK, AR 72205-2181
(501) 551-5980
Taxonomy
Speciality
Code
Description
License number
State
302F00000X
Exclusive Provider Organization
2577-C
AR
302R00000X
Health Maintenance Organization
2577-C
AR
305R00000X
Preferred Provider Organization
Primary
2577-C
AR
Other
Enumeration date
02/21/2012
Last updated
04/12/2012
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