Organization
SECOND CHANCE RANCH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LAINNA JEAN HENLEY MHPP (CASE MANAGER)
(501) 847-1559
Entity
Organization
Contact information
Practice address
201 DESTINED TO WIN ROAD, PARON, AR 72122
(501) 847-1559
Mailing address
PO BOX 901, BRYANT, AR 72089
Taxonomy
Speciality
Code
Description
License number
State
305S00000X
Point of Service
Primary
—
AR
Other
Enumeration date
09/14/2009
Last updated
07/21/2022
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