Healthcare Provider Details

I. General information

NPI: 1851503460
Provider Name (Legal Business Name): ARCHILD, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/04/2007
Last Update Date: 07/21/2022
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7723 COLONEL GLENN RD
LITTLE ROCK AR
72204
US

IV. Provider business mailing address

7723 COLONEL GLENN RD
LITTLE ROCK AR
72204
US

V. Phone/Fax

Practice location:
  • Phone: 501-280-9195
  • Fax: 501-664-2488
Mailing address:
  • Phone: 501-280-9195
  • Fax: 501-664-2488

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code320800000X
TaxonomyMental Illness Community Based Residential Treatment Facility
License Number
License Number State

VIII. Authorized Official

Name: MRS. MARTI DUSH
Title or Position: DIRECTOR
Credential: DIRECTOR
Phone: 501-280-9195