Healthcare Provider Details

I. General information

NPI: 1841103439
Provider Name (Legal Business Name): B & H CSSP OPERATIONS HARRISON B LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/24/2026
Last Update Date: 09/24/2026
Certification Date: 09/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

121 SAWGRASS PT
HARRISON AR
72601-3072
US

IV. Provider business mailing address

4900 MADISON 2035 HUNTSVILLE, AR 72740
HUNTSVILLE AR
72740
US

V. Phone/Fax

Practice location:
  • Phone: 870-345-9444
  • Fax: 870-345-9599
Mailing address:
  • Phone: 479-738-8717
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: TARA BOX
Title or Position: MANAGER
Credential:
Phone: 479-738-8717