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.