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CAPSTONE TREATMENT CENTER NPI 1528274552


NPI Information

NPI: 1528274552
Provider Name: CAPSTONE TREATMENT CENTER
Classification: Substance Abuse Rehabilitation Facility - 324500000X
Entity Type: Organization
Address:
120 MEGHAN LN
JUDSONIA, AR
ZIP 72081
Phone: (501) 729-4479
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CAPSTONE TREATMENT CENTER is a substance abuse rehabilitation facility in Judsonia, 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. CAPSTONE TREATMENT CENTER NPI is 1528274552. The provider is registered as an organization entity type.

The provider's business location address is:

120 MEGHAN LN
JUDSONIA, AR
ZIP 72081-302
Phone: (501) 729-4479
Fax: (501) 729-3537

The provider's authorized official is William Adrian Hickmon .
The authorized official title is Owner/director and has the following contact phone number (501) 729-4479.

The enumeration date for this NPI number is 5/15/2007 and was last updated on 6/7/2011.


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
13245S0500XSubstance Abuse Rehabilitation FacilitySubstance Abuse Treatment, ChildrenARKANSASNo
2323P00000XPsychiatric Residential Treatment FacilityARKANSASNo
3324500000XSubstance Abuse Rehabilitation FacilityARKANSASYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
110607OTHERARKANSASBCBS

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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