NPI Profile for CROWLEYS RIDGE DEVELOPMENT COUNCIL INC in JONESBORO, AR.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Professional |
101YP2500X | |||
Case Manager/Care Coordinator |
171M00000X | |||
Mental Health |
101YM0800X | |||
Other Service Providers |
175T00000X | |||
Psychiatry |
2084P0800X | 26 | Physician/Psychiatry |
| NPI Number | 1194425793 |
|
| Status | Active | |
| Credentials | ||
| Entity | Individual | |
| Enumeration date | 03/03/2023 | |
| Last updated | 03/06/2023 - About 3 years ago | |
| Sole proprietor 1 | Not specified | |
| Identifiers | Not Available | |
| Hospital affiliation(s) | Not Available |
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