| Organization Name: | NORTHEAST ARKANSAS COMMUNITY MENTAL HEALTH CENTER |
| NPI Number: | 1225321110 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | DONNIE LYERLY (CREDENTIALING) |
| Mailing Address: | 444 Atkins Blvd Marianna |
| State: | AR US |
| Postal Code: | 723602110 |
| Phone Number: | 8702954050 |
| Fax Number: | 8702954054 |
| NPI Enumeration Date: | 05/25/2011 |
| NPI Last Update Date: | 12/12/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YA0400X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Addiction (Substance Use Disorder) |
| Taxonomy Definition: | |