| NPI | 1710952650 |
|---|---|
| Doing Business As | WHITE RIVER BEHAVIORAL HEALTH |
| Entity Type | Organization |
| Authorized Contact | SHAWNA BAXTER Provider Enrollment 870-262-5545 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology Psychiatry |
| Additional Taxonomies | 101YM0800X Counselor Mental Health |
| 101YP2500X Counselor Professional | |
| 103T00000X Psychologist | |
| 103TC0700X Psychologist Clinical | |
| 1041C0700X Social Worker Clinical | |
| 363LP0808X Nurse Practitioner Psychiatric/Mental Health | |
| Enumeration Date | 2006-02-22 |
| Last Update Date | 2024-05-02 |