Organization
RISIN ABOVE DAY TREATMENT
Active
Organization
RISIN ABOVE DAY TREATMENT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TAMECIA FOREMAN (OWNER)
(501) 580-3324
Entity
Organization
Contact information
Practice address
23227 I 30 STE 28, BRYANT, AR 72022-2571
(501) 580-3324
Mailing address
23227 I 30 STE 28, BRYANT, AR 72022-2571
Taxonomy
Speciality
Code
Description
License number
State
261QH0700X
Hearing and Speech Clinic/Center
—
—
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
10/20/2009
Last updated
10/20/2009
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