Nwa Premier Therapy
Clinic/Center, Mental Health (Including Community Mental Health Center) in Rogers, AR. Organization (NPI-2).
NPI number1043774516
StatusActive
Last updated in NPPESJan 29, 2019
Details
- NPI
- 1043774516
- Entity type
- Organization (NPI-2)
- Legal business name
- Nwa Premier Therapy
- Organization subpart
- No
- Enumeration date
- Jan 29, 2019
- Last updated
- Jan 29, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QM0801X | Clinic/Center, Mental Health (Including Community Mental Health Center) | – | – | Yes |
Practice location
5305 W Village PkwySuite 8
Rogers, AR 72758
Phone 479-372-7446
Mailing address
5305 W Village PkwySuite 8
Rogers, AR 72758
Phone 479-372-7446
Authorized official
Victoria Lynn Sullivan
Owner
4793727446
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