| North Mentro Mental Health Clinic | |
|
1432 Braden Street Jacksonville AR 72018 | |
| (501) 985-7000 | |
| Not Available |
| Full Name | North Mentro Mental Health Clinic |
|---|---|
| Speciality | Psychiatric Unit |
| Location | 1432 Braden Street, Jacksonville, Arkansas |
| Authorized Official Name and Position | Dahlia Distin (PROVIDER) |
| Authorized Official Contact | 5019857000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| North Mentro Mental Health Clinic 1432 Braden Street Jacksonville AR 72018 Ph: (501) 985-7000 | North Mentro Mental Health Clinic 1432 Braden Street Jacksonville AR 72018 Ph: (501) 985-7000 |
| NPI Number | 1811435894 |
|---|---|
| Provider Enumeration Date | 02/09/2017 |
| Last Update Date | 02/09/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811435894 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 273R00000X | Psychiatric Unit | A004973 (Arkansas) | Primary |
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