Organization
NORTH METRO MEDICAL
Active
Other names
North Mentro Mental Health Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DAHLIA DISTIN NP (PROVIDER)
(501) 985-7000
Entity
Organization
Contact information
Practice address
1432 BRADEN STREET, JACKSONVILLE, AR 72018
(501) 985-7000
Mailing address
1432 BRADEN STREET, JACKSONVILLE, AR 72018
(501) 985-7000
Taxonomy
Speciality
Code
Description
License number
State
273R00000X
Psychiatric Hospital Unit
Primary
A004973
AR
Other
Enumeration date
02/09/2017
Last updated
02/09/2017
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