CHARLES JOHNSON

WEST MEMPHIS, AR
NPI1174917876
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy171M00000X Case Manager/Care Coordinator
Enumeration Date2015-03-20
Last Update Date2015-03-20
Business Address
-- CHARLES JOHNSON MHPP
304 N 6TH ST
WEST MEMPHIS, AR 72301-3221
Phone number: 870-702-7657
Mailing Address
-- CHARLES JOHNSON MHPP
703 CALVIN AVERY DR SUITE A
WEST MEMPHIS, AR 72301-6501
Phone number: 870-732-1878