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Tba Texarkana Llc
Mental Health Clinic/Center (Including Community Mental Health Center) in Prescott, Arkansas
NPI 1104185966

Tba Texarkana Llc is a Mental Health Clinic/Center (Including Community Mental Health Center) based in Fayetteville, AR and is specialized in Mental Health (Including Community Mental Health Center). Tba Texarkana Llc practices in Prescott, AR. The NPI Number for Tba Texarkana Llc is 1104185966 and holds a License No. (Arkansas).

The current practice location address for Tba Texarkana Llc is 1484 W 1St St N, Prescott, AR and can be reached out via phone at 870-887-1078 and via fax at 870-887-0281.

Location: 1484 W 1St St N, Prescott, AR, 72703-4057
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1104185966
Provider Name
Tba Texarkana Llc
Credential
Provider Entity Type
Organization
Address
1484 W 1St St N, Prescott, AR, 72703-4057
Phone Number
870-887-1078
Fax Number
870-887-0281
Provider Enumeration Date
05/14/2012
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1484 W 1St St N
City
Prescott
State
Arkansas
Zip
71857-3339
Phone Number
870-887-1078
Fax Number
870-887-0281
person
Provider Business Mailing Address Details
Address
1484 W 1St St N
City
Prescott
State
Arkansas
Zip
71857-3339
Phone Number
870-887-1078
Fax Number
870-887-0281
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Mental Health (Including Community Mental Health Center)
Taxonomy
261QM0801X
License No.
()
Definition
Definition to come...
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