THE GREGORY KISTLER TREATMENT CENTER INC. NPI 1841823200

NPI Information

THE GREGORY KISTLER TREATMENT CENTER, INC. is a voluntary or charitable in Fort Smith, AR. THE GREGORY KISTLER TREATMENT CENTER, INC. NPI is 1841823200. The provider is registered as an organization entity type.

The provider's business location address is:

3304 S M ST
FORT SMITH, AR
ZIP 72903-903
Phone: (479) 785-4677
Fax: (479) 785-4673

The provider's authorized official is Jennifer Kistler .
The authorized official title is Executive Director and has the following contact phone number (479) 785-4677.

The enumeration date for this NPI number is 2/13/2020 and was last updated on 3/4/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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