Heart-Active LLC
Clinic/Center, Mental Health (Including Community Mental Health Center) in Little Rock, AR. Organization (NPI-2).
NPI number1801547146
StatusActive
Last updated in NPPESJan 18, 2022
Details
- NPI
- 1801547146
- Entity type
- Organization (NPI-2)
- Legal business name
- Heart-Active LLC
- Organization subpart
- No
- Enumeration date
- Jan 18, 2022
- Certification date
- Jan 18, 2022
- Last updated
- Jan 18, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QM0801X | Clinic/Center, Mental Health (Including Community Mental Health Center) | – | – | Yes |
Practice location
1323 Broadway StLittle Rock, AR 72202-4843
Phone 501-580-3335
Mailing address
1323 Broadway StLittle Rock, AR 72202-4843
Authorized official
Ruth L Eudy
Incorporator/Organizer
5015803335
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