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General NPI Number Information
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NPI Number | 1063415800
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Entity Type | Organization
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Legal Business Name | UNITED METHODIST BEHAVIORAL HEALTH SYSTEM, INC
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Dates
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Enumeration Date | 05/24/2005
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Last Update Date | 04/07/2016
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Provider Practice Location Address
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Address Line | 1601 MURPHY DRIVE
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City | MAUMELLE
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State | AR
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Zip | 72113
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Country | US
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Telephone | 501-803-3388
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Fax | 501-803-4272
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Provider Business Mailing Address
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Address Line | 1600 ALDERSGATE RD SUITE 200
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City | LITTLE ROCK
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State | AR
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Zip | 72205-6676
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Country | US
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Telephone | 501-661-0720
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Fax | 501-325-7938
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Authorized Official
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Title or Position | CFO
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Name | MR. LESLEY DON COLE
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Credential |
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Telephone | 501-661-0720
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 283Q00000X
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Taxonomy Name | Psychiatric Hospital
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License Number | AR4089
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License Number State | AR
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