Provider Demographics
NPI:1003973835
Name:MONROE COUNTY HUMAN DEVELOPMENT CENTER, INC.
Entity Type:Organization
Organization Name:MONROE COUNTY HUMAN DEVELOPMENT CENTER, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:MARY
Authorized Official - Middle Name:L
Authorized Official - Last Name:HARLIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:870-734-1155
Mailing Address - Street 1:1116 N NEW YORK AVE
Mailing Address - Street 2:
Mailing Address - City:BRINKLEY
Mailing Address - State:AR
Mailing Address - Zip Code:72021-2126
Mailing Address - Country:US
Mailing Address - Phone:870-734-1155
Mailing Address - Fax:870-734-1156
Practice Address - Street 1:1116 N NEW YORK AVE
Practice Address - Street 2:
Practice Address - City:BRINKLEY
Practice Address - State:AR
Practice Address - Zip Code:72021-2126
Practice Address - Country:US
Practice Address - Phone:870-734-1155
Practice Address - Fax:870-734-1156
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-02
Last Update Date:2007-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251C00000XAgenciesDay Training, Developmentally Disabled Services