Victor Owens RECOVERY ASSISTANT

NPI 1063756120 - Case Manager/Care Coordinator - 171M00000X

NPI Details
NPI 1063756120
Gender Male
Enumeration Date 11/15/2012
Last Updated 11/15/2012
Entity Type Individual
Active Over 4 years ago
Practice Location
6701 HIGHWAY 67 BLDG 4
BENTON AR, 72015-8909, US
Phone (501) 315-3344
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, Victor Owens RECOVERY ASSISTANT NPI is 1063756120, taxonomy code is 171M00000X Victor Owens RECOVERY ASSISTANT physically located at 6701 Highway 67 Bldg 4, Benton AR, 72015-8909. NPI Number Victor Owens RECOVERY ASSISTANT has the Individual type.

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1063756120 NPI number is provided on an as is basis without warranty of any kind. 1063756120 is maintained by the National Plan & Provider Enumeration System. The contents of Victor Owens RECOVERY ASSISTANT are for informational purposes only.