| NPI | 1730402249 |
|---|---|
| Doing Business As | CONWAY REGIONAL COUNSELING CENTER |
| Entity Type | Organization |
| Authorized Contact | WILLIAM PACK CFO 501-450-2112 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Additional Taxonomies | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2010-03-11 |
| Last Update Date | 2023-11-09 |