Pathtaker
Clinic/Center, Mental Health (Including Community Mental Health Center) in Judsonia, AR. Organization (NPI-2).
NPI number1164244653
StatusActive
Last updated in NPPESOct 28, 2024
Details
- NPI
- 1164244653
- Entity type
- Organization (NPI-2)
- Legal business name
- Pathtaker
- Organization subpart
- No
- Enumeration date
- Oct 28, 2024
- Certification date
- Oct 28, 2024
- Last updated
- Oct 28, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QM0801X | Clinic/Center, Mental Health (Including Community Mental Health Center) | – | – | Yes |
Practice location
883 Donnie Stevens RdJudsonia, AR 72081-9235
Phone 501-365-1127
Mailing address
883 Donnie Stevens RdJudsonia, AR 72081-9235
Other practice locations
510 W Arch Ave
Searcy, AR 72143-5204
Searcy, AR 72143-5204
Phone 501-365-1127
1925 W Beebe Capps Expy
Searcy, AR 72143-5012
Searcy, AR 72143-5012
Phone 501-365-1127
Authorized official
Peter Romano
Ceo
5013651127
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