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FRESHLY RENEWED TRANSITIONAL NPI 1881251510


NPI Information

NPI: 1881251510
Provider Name: FRESHLY RENEWED TRANSITIONAL
Classification: Substance Abuse Rehabilitation Facility - 324500000X
Entity Type: Organization

CLIA Number: 04D2227527

Address:
8404 BASELINE RD
LITTLE ROCK, AR
ZIP 72209
Phone: (501) 733-5413
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FRESHLY RENEWED TRANSITIONAL is a substance abuse rehabilitation facility in 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. FRESHLY RENEWED TRANSITIONAL NPI is 1881251510. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

8404 BASELINE RD
LITTLE ROCK, AR
ZIP 72209-339
Phone: (501) 733-5413

The provider's authorized official is Terrell Newton .
The authorized official title is Owner and has the following contact phone number (501) 944-1406.

The CLIA number assigned to this NPI record is 04D2227527 - health main. organization with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 5/29/2019 and was last updated on 9/1/2021.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
11041C0700XSocial WorkerClinicalNo
2261QR0405XClinic/CenterRehabilitation, Substance Use DisorderNo
3324500000XSubstance 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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.