OrganizationActive
Civitan Center
NPI 1508917295 · Developmentally Disabled Services Day Training Agency · Benton, AR
Provider details
- NPI number
- 1508917295
- Entity type
- Organization
- Primary specialty
- Developmentally Disabled Services Day Training AgencyAgencies
- Authorized official
- Leah Henderson, Executive Director
Practice location
121 South Cox Street
121 South Cox Street
Benton, AR 72018-0368
Phone: (501) 776-0691
Fax: (501) 776-0692
Mailing address
121 South Cox Street
Benton, AR 72018-0368
Registry dates
- Enumerated
- 2007-01-16
- Last updated
- 2014-03-10
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.