Organization
KIKI DANCE STUDIO & WELLNESS CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KYJIONE KING (OWNER)
(870) 882-8345
Entity
Organization
Contact information
Practice address
721 S GEE ST STE A, JONESBORO, AR 72401-3308
(870) 882-1725
Mailing address
721 S GEE ST STE A, JONESBORO, AR 72401-3308
(870) 882-1725
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
01/02/2020
Last updated
02/23/2020
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