HUNTER WALLACE

BENTON, AR
NPI1558678268
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy171M00000X Case Manager/Care Coordinator
Enumeration Date2010-09-02
Last Update Date2010-09-02
Business Address
HUNTER WALLACE RECOVERY ASSISTANT
6701 HIGHWAY 67 BLDG 4
BENTON, AR 72015-8909
Phone number: 501-315-3344
Mailing Address
HUNTER WALLACE RECOVERY ASSISTANT
PO BOX 1589
BENTON, AR 72018-1589
Phone number: 501-315-3344