Provider Demographics
NPI:1851770564
Name:BETTER COMMUNITY DEVELOPMENT, INC
Entity Type:Organization
Organization Name:BETTER COMMUNITY DEVELOPMENT, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FIRTCTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:DEBORAH
Authorized Official - Middle Name:M
Authorized Official - Last Name:BRLL
Authorized Official - Suffix:
Authorized Official - Credentials:BA
Authorized Official - Phone:501-663-4774
Mailing Address - Street 1:3604 W 12TH ST
Mailing Address - Street 2:
Mailing Address - City:LITTLE ROCK
Mailing Address - State:AR
Mailing Address - Zip Code:72204-2139
Mailing Address - Country:US
Mailing Address - Phone:501-663-4774
Mailing Address - Fax:501-663-4774
Practice Address - Street 1:3604 W 12TH ST
Practice Address - Street 2:
Practice Address - City:LITTLE ROCK
Practice Address - State:AR
Practice Address - Zip Code:72204-2139
Practice Address - Country:US
Practice Address - Phone:501-663-4774
Practice Address - Fax:501-663-7228
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-05-27
Last Update Date:2015-05-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AR#00145324500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes324500000XResidential Treatment FacilitiesSubstance Abuse Rehabilitation Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
1742000000OtherBLUE CROSS AND BLUE SHIELD
AR1742Medicaid
AR1742000000Medicare NSC
AR1742000000Medicare UPIN
AR1742000000Medicare PIN