Pine Valley Day Treatment | |
893 Highway 64 Augusta AR 72006-5119 | |
(870) 347-5908 | |
(870) 347-1457 |
Full Name | Pine Valley Day Treatment |
---|---|
Speciality | Community/behavioral Health |
Location | 893 Highway 64, Augusta, Arkansas |
Authorized Official Name and Position | Bernis Medlock (SENIOR VICE PRESIDENT) |
Authorized Official Contact | 8707938900 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Pine Valley Day Treatment 25 Gap Rd Batesville AR 72501-8679 Ph: (870) 793-8900 | Pine Valley Day Treatment 893 Highway 64 Augusta AR 72006-5119 Ph: (870) 347-5908 |
NPI Number | 1932346368 |
---|---|
Provider Enumeration Date | 01/07/2009 |
Last Update Date | 01/07/2009 |
Identifier | Type | State | Issuer |
---|---|---|---|
1932346368 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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