Darrin Clark MHPP

NPI 1659601896 - Case Manager/Care Coordinator - 171M00000X

NPI Details
NPI 1659601896
Gender Male
Enumeration Date 01/11/2010
Last Updated 01/11/2010
Entity Type Individual
Active Over 6 years ago
Practice Location
10301 MAYO DR
BARLING AR, 72923-1660, US
Phone (479) 494-5700
Fax (479) 521-6520
Business Location
3352 N FUTRALL DR
FAYETTEVILLE AR, 72703-4057, US
Phone (479) 521-1427
Fax (479) 521-6520
Toxanomy
Taxonomy Code 171M00000X
License State
License Number
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According to our database, Darrin Clark MHPP NPI is 1659601896, taxonomy code is 171M00000X Darrin Clark MHPP physically located at 10301 Mayo Dr, Barling AR, 72923-1660. NPI Number Darrin Clark MHPP has the Individual type.

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1659601896 NPI number is provided on an as is basis without warranty of any kind. 1659601896 is maintained by the National Plan & Provider Enumeration System. The contents of Darrin Clark MHPP are for informational purposes only.