Youth Home, Inc

NPI 1083820146 - Psychiatric Residential Treatment Facility - 323P00000X

NPI Details
NPI 1083820146
Enumeration Date 05/15/2007
Last Updated 11/11/2008
Entity Type Healthcare Provider
Active Over 11 years ago
Authorized Information
Name PATRICIA LOUISE PATRICIA
Position CLINICAL DIRECTOR
Phone (501) 821-5500
Fax
Practice Location
20400 COLONEL GLENN RD
LITTLE ROCK AR, 72210-5323, US
Phone (501) 821-5500
Fax
Business Location
3101 REYNARD RD
LITTLE ROCK AR, 72210-5627, US
Phone (501) 821-3902
Fax
Toxanomy
Taxonomy Code 323P00000X
License State Arkansas
License Number 547-C
Remove 1083820146 NPI Number
 

According to our database, Youth Home, Inc NPI is 1083820146, taxonomy code is 323P00000X and license number is 547-C, license state is located at Arkansas. Youth Home, Inc physically located at 20400 Colonel Glenn Rd, Little Rock AR, 72210-5323. NPI Number 1033115704 has the healthcare provider type.

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1083820146 NPI number is provided on an as is basis without warranty of any kind. 1083820146 is maintained by the National Plan & Provider Enumeration System. The contents of Youth Home, Inc are for informational purposes only.