Provider Demographics
NPI:1699845818
Name:UHS OF BENTON, INC.
Entity Type:Organization
Organization Name:UHS OF BENTON, INC.
Other - Org Name:RIVENDELL BEHAVIORAL HEALTH SERVICES OF ARKANSAS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:SCOTT
Authorized Official - Middle Name:
Authorized Official - Last Name:WILLIAMS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:501-316-1255
Mailing Address - Street 1:100 RIVENDELL DR
Mailing Address - Street 2:
Mailing Address - City:BENTON
Mailing Address - State:AR
Mailing Address - Zip Code:72015-9188
Mailing Address - Country:US
Mailing Address - Phone:501-316-1255
Mailing Address - Fax:501-794-0908
Practice Address - Street 1:6210 DOLLARWAY RD
Practice Address - Street 2:SUITE 4
Practice Address - City:PINE BLUFF
Practice Address - State:AR
Practice Address - Zip Code:71602-3733
Practice Address - Country:US
Practice Address - Phone:870-247-3588
Practice Address - Fax:870-247-2072
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-08
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0855XAmbulatory Health Care FacilitiesClinic/CenterAdolescent and Children Mental Health