OrganizationActive
Ozark Community Bridge, LLC
NPI 1811648371 · Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Fayetteville, AR
Provider details
- NPI number
- 1811648371
- Entity type
- Organization
- Primary specialty
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Narcisse Mugisha, Ceo(207) 618-3784
Specialties & taxonomies
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityPrimary320900000X
Residential Treatment Facilities
Practice location
2705 N Club Dr Apt 9
Fayetteville, AR 72703-4757
Phone: (207) 618-3784
Approximate (ZIP-level) locationGet directions
Mailing address
2705 N Club Dr Apt 9
Fayetteville, AR 72703-4757
Other names (DBA / former)
- Doing business as
- Ozark Community Bridge, LLC
Registry dates
- Enumerated
- 2022-01-15
- Last updated
- 2022-01-15
- Certified
- 2022-01-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.