| NPI | 1376187203 |
|---|---|
| Doing Business As | SOUTH ARKANSAS REGIONAL HEALTH CENTER FORDYCE CLINIC |
| Entity Type | Organization |
| Authorized Contact | REGINA PIERCE Chief Executive Officer 870-862-7921 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2019-11-04 |
| Last Update Date | 2019-11-04 |