Metro Springdale Treatment Center, INC
Clinic/Center in Springdale, AR. Organization (NPI-2).
NPI number1104841600
StatusActive
Last updated in NPPESAug 22, 2020
Details
- NPI
- 1104841600
- Entity type
- Organization (NPI-2)
- Legal business name
- Metro Springdale Treatment Center, INC
- Organization subpart
- No
- Enumeration date
- Jul 13, 2006
- Last updated
- Aug 22, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261Q00000X | Clinic/Center | 0602898 | AR | Yes |
Practice location
1670 W Sunset AveSte B
Springdale, AR 72762-5136
Phone 479-725-2555 · Fax 479-725-2562
Mailing address
1670 W Sunset AveSte B
Springdale, AR 72762-5136
Phone 479-725-2555 · Fax 479-725-2562
Authorized official
Michael E Dickerson
Ceo
3162004424
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