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Organization

WEST HAVEN VILLAGE, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
CHRISTINA D STARKS (HUMAN RESOURCES)
(870) 946-1501
Entity
Organization

Contact information

Practice address
312 S MAIN ST, DE WITT, AR 72042-2616
(870) 946-1501
(870) 946-0822
Mailing address
312 S MAIN ST, DE WITT, AR 72042-2616
(870) 946-1501
(870) 946-0822

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary

Other

Enumeration date
03/08/2023
Last updated
03/08/2023
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