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NORTHEAST ARKANSAS TREATMENT SERVICES LLC NPI 1679830491


NPI Information

NPI: 1679830491
Provider Name: NORTHEAST ARKANSAS TREATMENT SERVICES, LLC
Classification: Clinic/Center - 261QM2800X
Entity Type: Organization

Specialization: Methadone

Address:
912 OSLER DR STE C
JONESBORO, AR
ZIP 72401
Phone: (501) 269-1395
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NORTHEAST ARKANSAS TREATMENT SERVICES, LLC is a methadone clinic center in Jonesboro, AR. The provider is an entity, facility, or distinct part of a facility providing diagnostic, and replacement maintenance treatment services related to individuals with drug addiction. NORTHEAST ARKANSAS TREATMENT SERVICES, LLC NPI is 1679830491. The provider is registered as an organization entity type.

The provider's business location address is:

912 OSLER DR STE C
JONESBORO, AR
ZIP 72401-330
Phone: (501) 269-1395
Fax: (501) 246-5451

The provider's authorized official is Peter W. Guresky .
The authorized official title is President/medical Director and has the following contact phone number (870) 336-0549.

The enumeration date for this NPI number is 4/18/2012 and was last updated on 12/1/2023.


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
1261QM2800XClinic/CenterMethadoneYes

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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