NSRC OAK GROVE LLC NPI 1255971610

NPI Information

  • NPI: 1255971610
  • Provider Name: NSRC OAK GROVE LLC
  • Classification: Substance Abuse Rehabilitation Facility - 324500000X
  • Entity Type: Organization
  • Doing Business As: NATURAL STATE RECOVERY
  • CLIA Number: 04D2237954
  • Address: 10025 OAKLAND DR
    NORTH LITTLE ROCK, AR
    ZIP 72118
  • Phone: (501) 773-0234

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NPI Details

NSRC OAK GROVE LLC is a substance abuse rehabilitation facility in North Little Rock, AR. The provider is a facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances. NSRC OAK GROVE LLC NPI is 1255971610. The provider is registered as an organization entity type.
The provider Is Doing Business As Natural State Recovery.

The provider's business location address is:

10025 OAKLAND DR
NORTH LITTLE ROCK, AR
ZIP 72118-942
Phone: (501) 773-0234

The provider's authorized official is Grant Gordy .
The authorized official title is Cfo and has the following contact phone number (501) 319-7074.

The CLIA number assigned to this NPI record is 04D2237954 - other - substance abuse treatment with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/13/2020 and was last updated on 2/10/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1324500000XSubstance Abuse Rehabilitation FacilityYes

What is NPI?

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This page was last updated on: 11/21/2025

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