Healthcare Provider Details

I. General information

NPI: 1184839631
Provider Name (Legal Business Name): TREATMENTS FOR KIDS, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/10/2007
Last Update Date: 01/07/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

24317 LINDEN ST.
WOODSON AR
72180-0100
US

IV. Provider business mailing address

PO BOX 100 24314 LINDEN ST
WOODSON AR
72180-0100
US

V. Phone/Fax

Practice location:
  • Phone: 501-952-7940
  • Fax:
Mailing address:
  • Phone: 501-952-7940
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code302F00000X
TaxonomyExclusive Provider Organization
License NumberR35327
License Number StateAR

VIII. Authorized Official

Name: MS. LINDA FAY WOODS
Title or Position: OWNER
Credential: R.N.
Phone: 501-952-7940