Chucks Developemental Outreach Inc.

Organization Active NPI Intellectual and/or Developmental Disabilities Residential Treatment Facility · Stephens, AR

NPI 1679701775 · NPPES record last updated Jun 26, 2009

Key facts

NPI
1679701775
Entity type
Organization (NPI type 2)
Primary specialty
Intellectual and/or Developmental Disabilities Residential Treatment Facility 320600000X
Legal business name
CHUCKS DEVELOPEMENTAL OUTREACH INC.
Practice address
2300 Ouachita 4
Stephens, AR 71764-9196
Phone
(807) 879-6149
Fax
(870) 879-1998
NPI assigned
Jun 26, 2009
Organization subpart
No

Authorized official

Name
Mr. Charles Roberson, DEVELOPEMENTAL THERP
Title
Ceo
Phone
(870) 879-6149

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual and/or Developmental Disabilities Residential Treatment Facility 320600000X AR Yes

Addresses

Primary practice location

2300 Ouachita 4
Stephens, AR 71764-9196

Mailing address

2300 Ouachita 4 Rd
Stephens, AR 71764
Phone (870) 879-6149

Other names

  • Chucks Developemental Outreach Inc Doing business as

Other providers in Stephens, AR

All providers in Stephens, AR · Intellectual and/or Developmental Disabilities Residential Treatment Facility in Arkansas

Sources for this page

Verify at the official NPI Registry.