Crowley's Ridge Development Council, Inc.

NPI 1114365988 - Substance Abuse Rehabilitation Facility - 324500000X

NPI Details
NPI 1114365988
Enumeration Date 06/13/2013
Last Updated 06/13/2013
Entity Type Healthcare Provider
Active Over 3 years ago
Authorized Information
Name AWANNA AWANNA
Position PROGRAM COORDINATOR
Phone (870) 932-0228
Fax (870) 910-5689
Practice Location
6009 C W POST RD
JONESBORO AR, 72401-8139, US
Phone (870) 932-0228
Fax (870) 910-5689
Business Location
6009 C W POST RD
JONESBORO AR, 72401-8139, US
Phone (870) 932-0228
Fax (870) 910-5689
Toxanomy
Taxonomy Code 324500000X
License State Arkansas
License Number 00124
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According to our database, Crowley's Ridge Development Council, Inc. NPI is 1114365988, taxonomy code is 324500000X and license number is 00124, license state is located at Arkansas. Crowley's Ridge Development Council, Inc. physically located at 6009 C W Post Rd, Jonesboro AR, 72401-8139. NPI Number 1033115704 has the healthcare provider type.

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1114365988 NPI number is provided on an as is basis without warranty of any kind. 1114365988 is maintained by the National Plan & Provider Enumeration System. The contents of Crowley's Ridge Development Council, Inc. are for informational purposes only.