Organization Name: | ARKANSAS HEALTH GROUP |
NPI Number: | 1427143551 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | INGRID J BLAKE (CLINICAL SUPERVISOR) |
Mailing Address: | 3343 Springhill Dr Ste 2050 North Little Rock |
State: | AR US |
Postal Code: | 721172946 |
Phone Number: | 5019450246 |
Fax Number: | 5019450216 |
NPI Enumeration Date: | 10/04/2006 |
NPI Last Update Date: | 05/23/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | E3782 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AR |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |