Basic Information
| Provider Information | |||||||||
| NPI: | 1144402017 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | DAYSPRING BEHAVIORAL HEALTH | ||||||||
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| Mailing Information | |||||||||
| Address1: | 5537 BLEAUX AVE | ||||||||
| Address2: | |||||||||
| City: | SPRINGDALE | ||||||||
| State: | AR | ||||||||
| PostalCode: | 727620737 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4798725580 | ||||||||
| FaxNumber: | 4798725581 | ||||||||
| Practice Location | |||||||||
| Address1: | 1008 PINE ST | ||||||||
| Address2: | |||||||||
| City: | ARKADELPHIA | ||||||||
| State: | AR | ||||||||
| PostalCode: | 719234919 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8702308364 | ||||||||
| FaxNumber: | 8702308381 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 12/03/2007 | ||||||||
| LastUpdateDate: | 12/03/2007 | ||||||||
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| AuthorizedOfficialLastName: | LAYSON | ||||||||
| AuthorizedOfficialFirstName: | KAREN | ||||||||
| AuthorizedOfficialMiddleName: | D | ||||||||
| AuthorizedOfficialTitleorPosition: | BILLING/ COLLECTIONS | ||||||||
| AuthorizedOfficialTelephone: | 4798725580 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialNamePrefix: | MS. | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 251S00000X | AR | Y | Agencies | Community/Behavioral Health |
No ID Information.