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SOZO RECOVERY CENTERS INC NPI 1447723143


NPI Information

NPI: 1447723143
Provider Name: SOZO RECOVERY CENTERS INC
Classification: Substance Abuse Rehabilitation Facility - 324500000X
Entity Type: Organization

CLIA Number: 04D2184497

Address:
243 NATHAN TER
JESSIEVILLE, AR
ZIP 71949
Phone: (501) 984-5317
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SOZO RECOVERY CENTERS INC is a substance abuse rehabilitation facility in Jessieville, 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. SOZO RECOVERY CENTERS INC NPI is 1447723143. The provider is registered as an organization entity type.

The provider's business location address is:

243 NATHAN TER
JESSIEVILLE, AR
ZIP 71949-289
Phone: (501) 984-5317

The provider's authorized official is Jason Bynum .
The authorized official title is Administrative Manager and has the following contact phone number (479) 242-1003.

The CLIA number assigned to this NPI record is 04D2184497 - other - residential treatment fac with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/4/2019 and was last updated on 12/31/2019.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QR0405XClinic/CenterRehabilitation, Substance Use DisorderNo
2324500000XSubstance Abuse Rehabilitation FacilityYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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