| Southeast Arkansas Behavioral Healthcare System, Inc | |
|
3004 W 34th Ave Pine Bluff AR 71603-5502 | |
| (870) 534-1880 | |
| Not Available |
| Full Name | Southeast Arkansas Behavioral Healthcare System, Inc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 3004 W 34th Ave, Pine Bluff, Arkansas |
| Authorized Official Name and Position | Kathy D Harris (PRESIDENT/CEO) |
| Authorized Official Contact | 8705341834 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Southeast Arkansas Behavioral Healthcare System, Inc 2500 Rike Dr Pine Bluff AR 71603-3937 Ph: (870) 534-1834 | Southeast Arkansas Behavioral Healthcare System, Inc 3004 W 34th Ave Pine Bluff AR 71603-5502 Ph: (870) 534-1880 |
| NPI Number | 1205123445 |
|---|---|
| Provider Enumeration Date | 07/08/2011 |
| Last Update Date | 09/08/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205123445 | NPI | - | NPPES |
| 187062526 | Medicaid | AR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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