Organization
NEW LIFE CHILDREN'S HOME
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. PAMELA MARIE WHITAKER LMSW (ADMINISTRATOR)
(870) 217-9125
Entity
Organization
Contact information
Practice address
50 4TH ST, OIL TROUGH, AR 72564
(870) 264-3757
(870) 264-9300
Mailing address
PO BOX 885, NEWPORT, AR 72112-0885
(870) 264-3757
(870) 264-9300
Taxonomy
Speciality
Code
Description
License number
State
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
20128
AR
Other
Enumeration date
07/09/2009
Last updated
07/09/2009
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