Provider Demographics
NPI:1811178841
Name:SOUTH ARKANSAS YOUTH SERVICES, INC.
Entity type:Organization
Organization Name:SOUTH ARKANSAS YOUTH SERVICES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FINANCE DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:ROSALIE
Authorized Official - Middle Name:
Authorized Official - Last Name:PYLE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:870-234-6550
Mailing Address - Street 1:124 S JACKSON
Mailing Address - Street 2:SUITE 308
Mailing Address - City:MAGNOLIA
Mailing Address - State:AR
Mailing Address - Zip Code:71753-3526
Mailing Address - Country:US
Mailing Address - Phone:870-234-6550
Mailing Address - Fax:870-234-3822
Practice Address - Street 1:450 COLUMBIA 11 E
Practice Address - Street 2:
Practice Address - City:MAGNOLIA
Practice Address - State:AR
Practice Address - Zip Code:71753-9203
Practice Address - Country:US
Practice Address - Phone:870-234-6065
Practice Address - Fax:870-234-6175
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-11-19
Last Update Date:2007-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management
No251S00000XAgenciesCommunity/Behavioral Health