institution
The Gregory Kistler Treatment Center, Inc.
Voluntary or Charitable Agency in Fort Smith, Arkansas
NPI 1437118015

The Gregory Kistler Treatment Center, Inc. is a Voluntary or Charitable Agency based in Fort Smith, AR. The Gregory Kistler Treatment Center, Inc. practices in Fort Smith, AR. The NPI Number for The Gregory Kistler Treatment Center, Inc. is 1437118015 and holds a License No. (Arkansas).

The current practice location address for The Gregory Kistler Treatment Center, Inc. is 3304 S M St, Fort Smith, AR and can be reached out via phone at 479-785-4677 and via fax at 479-785-4673.

Location: 3304 S M St, Fort Smith, AR, 72903-2903
institution
Provider Profile Details
NPI Number
1437118015
Provider Name
The Gregory Kistler Treatment Center, Inc.
Credential
Provider Entity Type
Organization
Address
3304 S M St, Fort Smith, AR, 72903-2903
Phone Number
479-785-4677
Fax Number
479-785-4673
Provider Enumeration Date
03/21/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1000679370D 05 OK
47953 01 AR BCBS DME
115951742 05 AR
117606716 05 AR
5B311 01 AR BCBS TREATMENT
institution
Provider Business Practice Location Address Details
Address
3304 S M St
City
State
Zip
72903-2903
Phone Number
479-785-4677
Fax Number
479-785-4673
person
Provider Business Mailing Address Details
Address
3304 S M St
City
State
Zip
72903-2903
Phone Number
479-785-4677
Fax Number
479-785-4673
person
Provider's Taxonomy Details 1
Type
Agencies
Classification
Voluntary or Charitable
Speciality
-
Taxonomy
License No.
()
Definition
Definition to come...
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