Organization
ARCHILD, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARTI DUSH DIRECTOR (DIRECTOR)
(501) 280-9195
Entity
Organization
Contact information
Practice address
7723 COLONEL GLENN RD, LITTLE ROCK, AR 72204
(501) 280-9195
(501) 664-2488
Mailing address
7723 COLONEL GLENN RD, LITTLE ROCK, AR 72204
(501) 280-9195
(501) 664-2488
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
105271724
—
AR
05
—
116879742
—
AR
01
—
132535786
STATE PROVIDER NUMBER
AR
05
—
142059724
—
AR
05
—
169405778
—
AR
Enumeration date
05/04/2007
Last updated
07/21/2022
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