Short Mountain Lodge CSSP LLC
Organization Active NPI Community/Behavioral Health Agency · Paris, AR
NPI 1194540534 · NPPES record last updated May 7, 2025
Key facts
- NPI
- 1194540534
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community/Behavioral Health Agency 251S00000X
- Legal business name
- SHORT MOUNTAIN LODGE CSSP LLC
- Practice address
- 2721 W Walnut St
Paris, AR 72855-3642 - Phone
- (479) 963-2255
- NPI assigned
- Nov 20, 2024
- Organization subpart
- No
Authorized official
- Name
- Mr. Claude Bryant
- Title
- Regional Administrator
- Phone
- (479) 650-7083
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | Yes | ||
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility | 320900000X |
Addresses
Primary practice location
2721 W Walnut St
Paris, AR 72855-3642
Mailing address
6500 Rye Hill Rd E
Fort Smith, AR 72916-8397
Phone (479) 650-7083
Other providers in Paris, AR
- Ronny Bowman OD PA
- Rose Drug Paris Inc
- Jessica Michelle Russell
- Savanah Scarberry
- SCPG Arkansas LLC
- Short Mountain Lodge Residential Care
- Kerry Shumate
- Eric James Siebenmorgen
- Sarah Siebenmorgen
- Thomas Matthews Spivey
All providers in Paris, AR · Community/Behavioral Health Agency in Arkansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 7, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.