Organization
WELL-PLAY THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD LEE ELLER (OWNER)
(479) 308-8338
Entity
Organization
Contact information
Practice address
3102 SE J ST, BENTONVILLE, AR 72712-3796
(479) 308-8338
Mailing address
3102 SE J ST, BENTONVILLE, AR 72712-3796
(479) 308-8338
Taxonomy
Speciality
Code
Description
License number
State
261QM0855X
Adolescent and Children Mental Health Clinic/Center
Primary
P1402014
AR
Other
Enumeration date
12/30/2016
Last updated
12/30/2016
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