Ellis Foster RECOVERY ASSISTANT

NPI 1245511534 - Case Manager/Care Coordinator - 171M00000X

NPI Details
NPI 1245511534
Gender Male
Enumeration Date 08/31/2011
Last Updated 08/31/2011
Entity Type Individual
Active Over 5 years ago
Practice Location
522 MILL RD
CLARKSVILLE AR, 72830-8511, US
Phone (479) 705-1301
Fax
Business Location
PO BOX 1589
BENTON AR, 72018-1589, US
Phone (501) 315-3344
Fax
Toxanomy
Taxonomy Code 171M00000X
License State
License Number
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According to our database, Ellis Foster RECOVERY ASSISTANT NPI is 1245511534, taxonomy code is 171M00000X Ellis Foster RECOVERY ASSISTANT physically located at 522 Mill Rd, Clarksville AR, 72830-8511. NPI Number Ellis Foster RECOVERY ASSISTANT has the Individual type.

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1245511534 NPI number is provided on an as is basis without warranty of any kind. 1245511534 is maintained by the National Plan & Provider Enumeration System. The contents of Ellis Foster RECOVERY ASSISTANT are for informational purposes only.