OrganizationActive
State of Arkansas
NPI 1407988355 · Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Arkadelphia, AR
Provider details
- NPI number
- 1407988355
- Entity type
- Organization
- Primary specialty
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityResidential Treatment Facilities
- Authorized official
- Margaret Green, Superintendent
- License
- 320900000X (AR)
Practice location
1 Prator Drive
Arkadelphia, AR 71923
Phone: (870) 246-8011
Fax: (870) 230-8424
Mailing address
Po Box 8181
Little Rock, AR 72203-8181
Registry dates
- Enumerated
- 2007-03-09
- Last updated
- 2008-06-26
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.