Organization
RIVER VALLEY YOUTH FOUNDATION
Active
Other names
Ascent Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
CAMERON LAUCKNER (BOARD PRESIDENT)
(479) 747-5222
Entity
Organization
Contact information
Practice address
104 LOCK AND DAM RD, RUSSELLVILLE, AR 72802-9725
(479) 567-5280
Mailing address
104 LOCK AND DAM RD, RUSSELLVILLE, AR 72802-9725
(479) 567-5280
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
07/07/2023
Last updated
03/14/2025
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