Organization · Type 2 NPI

Conway County Community Service Inc

Community/Behavioral Health Agency · Clinton, AR

NPI number 1962637082 Active

Practice location

119 Shake Rag Rd
Clinton, AR 72031-6682

Call (501) 745-2956 Map

Fax (501) 745-6918

Mailing address

P.o. Box 1133
Clinton, AR 72031

Specialties and licenses

Taxonomy	Code	License
Community/Behavioral Health Agency Primary	251S00000X	None listed

Community/Behavioral Health Agency: A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day suppo…

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NPI record

NPI: 1962637082
Entity type: Organization (Type 2)
Issued: May 19, 2009
Last updated: Mar 3, 2021
Status: Active

Other names

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Community Service Inc. - Clinton · other name
Community Service Inc. - Clinton · other name

Authorized official

Angela Lynn Wheat
PA/credentialing Clerk
(501) 354-4589

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1962637082

Conway County Community Service Inc's National Provider Identifier is 1962637082, issued on May 19, 2009. The primary taxonomy on file is Community/Behavioral Health Agency (251S00000X), and the practice location is in Clinton, AR. The record was last updated on Mar 3, 2021.