Organization
UHS OF BENTON, LLC
Active
Other names
Rivendell Behavioral Health Services of Arkansas
Organization subpart
No
Provider details
NPI number
Authorized official
STEVE FILTON (SR VP CFO)
(610) 768-3300
Entity
Organization
Contact information
Practice address
100 RIVENDELL DRIVE, BENTON, AR 72019
(501) 316-1255
(501) 794-0908
Mailing address
100 RIVENDELL DRIVE, BENTON, AR 72019
(501) 316-1255
(501) 794-0908
Taxonomy
Speciality
Code
Description
License number
State
261QM0855X
Adolescent and Children Mental Health Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
152548726
—
AR
Enumeration date
11/08/2006
Last updated
08/13/2015
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