Organization
TALBOT & DEBRIYN BEHAVIORAL HEALTH, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TODD DEBRIYN (OWNER)
(479) 466-6021
Entity
Organization
Contact information
Practice address
1618 N A ST, FORT SMITH, AR 72901-3230
(479) 466-6021
Mailing address
1905 S RIVER MEADOWS DRIVER, FAYETTEVILLE, AR 72701-7872
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000000
NONE
AR
Enumeration date
09/22/2016
Last updated
09/22/2016
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