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1780276451
MOONLIGHT MENTAL HEALTH
BENTON, AR
NPI
1780276451
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Entity Type
Organization
Authorized Contact
LAUREN JOHNSON
Owner
501-278-1736
Organization Subpart ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2021-02-04
Last Update Date
2021-02-04
Business Address
MOONLIGHT MENTAL HEALTH
211 S MAIN
BENTON, AR 72015-4331
Phone number: 662-727-1053
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Mailing Address
MOONLIGHT MENTAL HEALTH
208 E RICHARDSON PLACE DR
BRYANT, AR 72022-3246
Phone number: 501-278-1736
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