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1114260486
CHANGES BEHAVIORAL HEALTH, LLC
WYNNE, AR
NPI
1114260486
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Entity Type
Organization
Authorized Contact
BRIAN DICKSON SHAW
Therapist
901-570-0556
Organization Subpart ?
No
Primary Taxonomy
251S00000X
(Licence: AR 5606c)
Enumeration Date
2013-04-04
Last Update Date
2015-01-06
Business Address
CHANGES BEHAVIORAL HEALTH, LLC
204 MISSISSIPPI ST S
WYNNE, AR 72396-3025
Phone number: 870-208-8499
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Mailing Address
CHANGES BEHAVIORAL HEALTH, LLC
204 MISSISSIPPI ST S
WYNNE, AR 72396-3025
Phone number: 870-208-8499
Copy
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