Provider Demographics
NPI:1851503460
Name:ARCHILD, INC
Entity Type:Organization
Organization Name:ARCHILD, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:MARTI
Authorized Official - Middle Name:
Authorized Official - Last Name:DUSH
Authorized Official - Suffix:
Authorized Official - Credentials:DIRECTOR
Authorized Official - Phone:501-280-9195
Mailing Address - Street 1:7723 COLONEL GLENN RD
Mailing Address - Street 2:
Mailing Address - City:LITTLE ROCK
Mailing Address - State:AR
Mailing Address - Zip Code:72204
Mailing Address - Country:US
Mailing Address - Phone:501-280-9195
Mailing Address - Fax:501-664-2488
Practice Address - Street 1:7723 COLONEL GLENN RD
Practice Address - Street 2:
Practice Address - City:LITTLE ROCK
Practice Address - State:AR
Practice Address - Zip Code:72204
Practice Address - Country:US
Practice Address - Phone:501-280-9195
Practice Address - Fax:501-664-2488
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-04
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320800000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Mental Illness
Provider Identifiers
StateIdentifier IDID TypeIssuer
AR105271724Medicaid
AR132535786OtherSTATE PROVIDER NUMBER
AR142059724Medicaid
AR116879742Medicaid
AR169405778Medicaid