Provider Demographics
NPI:1073666475
Name:MORRILTON HUMAN RELATIONS COUNCIL
Entity Type:Organization
Organization Name:MORRILTON HUMAN RELATIONS COUNCIL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:DIANE
Authorized Official - Middle Name:D
Authorized Official - Last Name:WILSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:1501-354-8044
Mailing Address - Street 1:706 N DIVISION ST
Mailing Address - Street 2:
Mailing Address - City:MORRILTON
Mailing Address - State:AR
Mailing Address - Zip Code:72110-2016
Mailing Address - Country:US
Mailing Address - Phone:501-354-8044
Mailing Address - Fax:501-354-0502
Practice Address - Street 1:706 N DIVISION ST
Practice Address - Street 2:
Practice Address - City:MORRILTON
Practice Address - State:AR
Practice Address - Zip Code:72110-2016
Practice Address - Country:US
Practice Address - Phone:501-354-8044
Practice Address - Fax:501-354-0502
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-19
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AR251V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251V00000XAgenciesVoluntary or Charitable