Provider First Line Business Practice Location Address:
CONWAY INTERFAITH CLINIC, INC
Provider Second Line Business Practice Location Address:
830 NORTH CREEK DRIVE
Provider Business Practice Location Address City Name:
CONWAY
Provider Business Practice Location Address State Name:
AR
Provider Business Practice Location Address Postal Code:
72032
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
501-932-0559
Provider Business Practice Location Address Fax Number:
501-932-0227
Provider Enumeration Date:
06/27/2007