1508917295 CIVITAN CENTER

Developmentally Disabled Services Day Training Agency

Active

Basic Information

Organization Name
CIVITAN CENTER
Enumeration Date
January 16, 2007
Last Update
March 10, 2014
Authorized Official
MRS. LEAH L. HENDERSON MSE-ECSE
EXECUTIVE DIRECTOR
Phone: (501) 776-0691

Practice Location

Address
121 SOUTH COX STREET
121 SOUTH COX STREET
BENTON, AR 720180368
Phone
(501) 776-0691
Fax
(501) 776-0692

Mailing Address

Address
121 SOUTH COX STREET
P. O. BOX 368
BENTON, AR 720180368
Phone
(501) 776-0691
Fax
(501) 776-0692

Specialties & Taxonomies

Specialty Code Classification License State Primary
Developmentally Disabled Services Day Training Agency
251C00000X Day Training, Developmentally Disabled Services N/A AR Primary

Other Identifiers

Identifier Type State Issuer
105505724 05 AR N/A
120140715 05 AR N/A
116454742 05 AR N/A
131841774 05 AR N/A
125972767 05 AR N/A
132537786 01 AR STATE NONMEDICAID

Frequently Asked Questions

What is CIVITAN CENTER's NPI number?
CIVITAN CENTER's NPI number is 1508917295.
Which doctor has NPI number 1508917295?
The doctor with NPI number 1508917295 is CIVITAN CENTER.
What is CIVITAN CENTER's practice address?
CIVITAN CENTER's practice address is 121 SOUTH COX STREET, 121 SOUTH COX STREET, BENTON, AR, 720180368.
Which doctor practices at 121 SOUTH COX STREET, 121 SOUTH COX STREET, BENTON, AR, 720180368?
CIVITAN CENTER practices at 121 SOUTH COX STREET, 121 SOUTH COX STREET, BENTON, AR, 720180368.
What is CIVITAN CENTER's phone number?
CIVITAN CENTER's phone number is (501) 776-0691.
Who is (501) 776-0691?
(501) 776-0691 is the phone number for CIVITAN CENTER.
What is CIVITAN CENTER's specialty?
CIVITAN CENTER's specialty is Developmentally Disabled Services Day Training Agency.
What type of doctor is CIVITAN CENTER?
CIVITAN CENTER is a Developmentally Disabled Services Day Training Agency.
Is CIVITAN CENTER a Day Training, Developmentally Disabled Services?
Yes, CIVITAN CENTER is a Day Training, Developmentally Disabled Services.
Is CIVITAN CENTER still practicing?
Yes, CIVITAN CENTER is currently practicing.
Is CIVITAN CENTER accepting new patients?
CIVITAN CENTER may be accepting new patients. Please call their office at (501) 776-0691 to inquire about availability.
Is NPI 1508917295 still active?
Yes, NPI 1508917295 is currently active.
Where does CIVITAN CENTER practice?
CIVITAN CENTER practices in BENTON, AR.