Provider Demographics
NPI:1164028395
Name:DHP CENTERS HARRAH LLC
Entity Type:Organization
Organization Name:DHP CENTERS HARRAH LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/CEO
Authorized Official - Prefix:
Authorized Official - First Name:LARRY
Authorized Official - Middle Name:C
Authorized Official - Last Name:PRESTON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:870-725-4700
Mailing Address - Street 1:101 W MAIN ST STE 200
Mailing Address - Street 2:
Mailing Address - City:EL DORADO
Mailing Address - State:AR
Mailing Address - Zip Code:71730-5654
Mailing Address - Country:US
Mailing Address - Phone:870-725-4700
Mailing Address - Fax:870-444-5241
Practice Address - Street 1:1940 CHURCH AVE
Practice Address - Street 2:
Practice Address - City:HARRAH
Practice Address - State:OK
Practice Address - Zip Code:73045-9732
Practice Address - Country:US
Practice Address - Phone:870-725-4700
Practice Address - Fax:870-444-5241
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-12-11
Last Update Date:2020-12-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Multi-Specialty