Organization
CONWAY MARRIAGE CLINIC
Active
Organization
CONWAY MARRIAGE CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ELIZABETH RUGGIERO PH.D. (CEO/OWNER)
(501) 499-5354
Entity
Organization
Contact information
Practice address
1125 OAK ST, SUITE 205, CONWAY, AR 72032-4317
(501) 499-5354
Mailing address
1125 OAK ST, SUITE 205, CONWAY, AR 72032-4317
(501) 499-5354
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
P0807061
AR
Other
Enumeration date
01/24/2011
Last updated
01/24/2011
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