Organization
PILOTAGE HEALING INC.
Active
Organization
PILOTAGE HEALING INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VAUGHN DECOSTER PHD (DIRECTOR)
(479) 445-9814
Entity
Organization
Contact information
Practice address
4979 OLD GREENWOOD RD STE B2, FORT SMITH, AR 72903-6906
(479) 289-5220
Mailing address
775 LAUREL DR, GREENWOOD, AR 72936-5714
(479) 445-9814
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
Other
Enumeration date
03/19/2025
Last updated
03/19/2025
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