NPI: 1285273219
Provider Name: TRUE SELF RECOVERY LLC
Doing Business As: TRUE SELF RECOVERY LLC
Classification: Clinic/Center - 261QR0405X
Entity Type: Organization
Specialization: Rehabilitation, Substance Use Disorder
CLIA Number: 04D2178524
Address:
1104 N 2ND ST
ROGERS, AR
ZIP 72756
Phone: (877) 706-2650
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TRUE SELF RECOVERY LLC is a rehabilitation and substance use disorder clinic center in Rogers, AR. TRUE SELF RECOVERY LLC NPI is 1285273219. The provider is registered as an organization entity type.
The provider Is Doing Business As True Self Recovery Llc.
The provider's business location address is:
1104 N 2ND ST
ROGERS, AR
ZIP 72756-834
Phone: (877) 706-2650
The provider's authorized official is Will Burse .
The authorized official title is Owner and has the following contact phone number (479) 335-5999.
The CLIA number assigned to this NPI record is 04D2178524 - other with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 12/20/2019 and was last updated on 8/6/2021.