Haven Detox Little Rock, Llc

LBN: Haven Detox Little Rock, Llc
Haven Detox Little Rock, Llc is an health care organization with primary practice located at 5201 Stagecoach Rd , Little Rock AR 72204-8515. The organization recently has 3 registered licenses in different health care specialties including Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Illness, Residential Treatment Facilities / Psychiatric Residential Treatment Facility, Residential Treatment Facilities / Substance Abuse Rehabilitation Facility. Residential Treatment Facilities / Psychiatric Residential Treatment Facility is the primary health care specialty. Haven Detox Little Rock, Llc can be contacted via phone (561) 635-2400, or through Vesselov, Kirill via phone (561) 635-2400.

Contact Information

Primary practice address
5201 Stagecoach Rd Little Rock AR 72204-8515
Phone: (561) 635-2400
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Vesselov, Kirill
Phone: (561) 635-2400

Health care specialties

SpecialtyCodeLicense #State
Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Illness 320800000X
Residential Treatment Facilities / Psychiatric Residential Treatment Facility 323P00000X
Residential Treatment Facilities / Substance Abuse Rehabilitation Facility 324500000X

Profile Details

NPI number 1578261202
LBN Legal business name Haven Detox Little Rock, Llc
DBA Doing business as
Authorized official Vesselov, Kirill
Entity Organization
Organization subpart 1 No
Enumeration date Feb 22nd, 2023
Last updated Mar 4th, 2024 - about 8 months ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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