Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
STATE PF ARKANSAS
Active OrganizationIntellectual Disabilities Residential Treatment Facility · JONESBORO, AR
Registration Details
- NPI Number
- 1386770030
- Provider Type
- Organization
- NPI Issued
- Feb 26, 2007 (19.149809516618 yrs)
- Last Updated
- Aug 16, 2023
- License
-
137 (AR)
Practice Information
- Address
-
4701 COLONY DRJONESBORO, AR, 724049317Browse AR providers · Browse ZIP 72404
- Phone
- 8709324043
- Fax
- 8709324459
- Primary Specialty
-
Intellectual Disabilities Residential Treatment Facility
320600000X
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.