Organization
NORTH METRO MEDICAL
Active
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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