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Ozark Mountain Alcohol Residential Treatment, Inc,.

Ozark Mountain Alcohol Residential Treatment, Inc,. is a health care provider in Gassville, AR. In this page you will find its mailing address, practice location, phone number, specialty etc.

physician-icon Basic Information

Practice Location 116 Snowball Dr, Gassville, AR 72635, US
Practice Location Phone870-435-6200
Practice Location Fax
Legal Business NameOZARK MOUNTAIN ALCOHOL RESIDENTIAL TREATMENT, INC,.
Other Organization NameOMART, INC.
Other Organization Name TypeAn Other Name
NPI ?1750670303
Entity TypeOrganization
Enumeration Date ? Apr 5, 2011
Last Update Date ? Apr 5, 2011
Note:
NPI: National Provider Identifier issued to health care providers by Centers for Medicare and Medicaid Services (CMS).

specialty-icon Specialties & Licenses of Ozark Mountain Alcohol Residential Treatment, Inc,.

SpecialtySpecializationLicenseLicense State
Substance Abuse Rehabilitation Facility 00059Arkansas

legacy-id-icon Legacy Provider IDs of Ozark Mountain Alcohol Residential Treatment, Inc,.

Provider IdIssuer StateIssuer TypeIssuer
D14714ArkansasOtherSTATE OF ARKANSAS OFFICE OF ALCOHOL AND DRUG ABUSE PREVENTION

official-icon Authorized Official of Ozark Mountain Alcohol Residential Treatment, Inc,.

An authorized official is an appointed official with the legal authority to make changes and/or updates to the Ozark Mountain Alcohol Residential Treatment, Inc,.'s status and to commit the provider to fully abide by the laws and regulations relating to the National Provider Identifier (NPI).

Authorized Official Mrs. Darlene E Prine (CADC)
Authorized Official Title/PositionEXECUTIVE DIRECTOR
Authorized Official Phone Number870-435-6200