Organization · Type 2 NPI

Tba Texarkana LLC

Mental Health Clinic/Center (Including Community Mental Health Center) · Prescott, AR

NPI number 1104185966 Active

Practice location

1484 W 1st St N
Prescott, AR 71857-3339

Fax (870) 887-0281

Mailing address

3352 N Futrall Dr
Fayetteville, AR 72703-4057

Specialties and licenses

TaxonomyCodeLicense
Mental Health Clinic/Center (Including Community Mental Health Center) Primary 261QM0801XNone listed

Mental Health Clinic/Center (Including Community Mental Health Center): Definition to come...

15 other providers at this address

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About NPI 1104185966

Tba Texarkana LLC's National Provider Identifier is 1104185966, issued on May 14, 2012. The primary taxonomy on file is Mental Health Clinic/Center (Including Community Mental Health Center) (261QM0801X), and the practice location is in Prescott, AR. The record was last updated on May 14, 2012.