LEOTIS GIST

NEWPORT, AR
NPI1346671609
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy171M00000X Case Manager/Care Coordinator
Enumeration Date2013-12-11
Last Update Date2013-12-11
Business Address
-- LEOTIS GIST Recovery Assistant
210 THIRD ST
NEWPORT, AR 72112-3302
Phone number: 870-524-9496
Mailing Address
-- LEOTIS GIST Recovery Assistant
PO BOX 1589
BENTON, AR 72018-1589
Phone number: 501-315-3344