Organization
CHIPGANG CHOSEN HEIRS INTENTIONALLY PURE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. RAMONDA SPIVEY (DIRECTOR)
(904) 412-3410
Entity
Organization
Contact information
Practice address
3602 HAWTHORNE, PARAGOULD, AR 72450-6374
(904) 412-3410
Mailing address
3602 HAWTHORNE, PARAGOULD, AR 72450-6374
(904) 412-3410
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
04/03/2026
Last updated
04/03/2026
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