Provider Demographics
NPI:1447643572
Name:DAYSPRING BEHAVIORAL HEALTH SERVICES OF SPRINGDALE
Entity type:Organization
Organization Name:DAYSPRING BEHAVIORAL HEALTH SERVICES OF SPRINGDALE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:STATE BILLING DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:HELEN
Authorized Official - Middle Name:
Authorized Official - Last Name:BALDING
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:479-271-6107
Mailing Address - Street 1:750 MATHIAS DR
Mailing Address - Street 2:
Mailing Address - City:SPRINGDALE
Mailing Address - State:AR
Mailing Address - Zip Code:72762-0741
Mailing Address - Country:US
Mailing Address - Phone:479-271-6107
Mailing Address - Fax:
Practice Address - Street 1:602 N WALTON BLVD
Practice Address - Street 2:
Practice Address - City:BENTONVILLE
Practice Address - State:AR
Practice Address - Zip Code:72712-4576
Practice Address - Country:US
Practice Address - Phone:479-271-6107
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-03-13
Last Update Date:2015-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health