Haven Detox Of West Memphis, Llc

LBN: Haven Detox Of West Memphis, Llc
Haven Detox Of West Memphis, Llc is an health care organization with primary practice located at 410 S Avalon St , West Memphis AR 72301-4183. The organization recently has only one registered license in Residential Treatment Facilities / Substance Abuse Rehabilitation Facility, which is considered as the primary health care specialty. Haven Detox Of West Memphis, Llc can be contacted via phone (561) 635-2400, or through Vesselov, Kirill via phone (561) 635-2400.

Contact Information

Primary practice address
410 S Avalon St West Memphis AR 72301-4183
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 / Substance Abuse Rehabilitation Facility 324500000X

Profile Details

NPI number 1043082555
LBN Legal business name Haven Detox Of West Memphis, Llc
DBA Doing business as
Authorized official Vesselov, Kirill
Entity Organization
Organization subpart 1 No
Enumeration date Oct 27th, 2023
Last updated Oct 27th, 2023 - about last year

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.

Request for update

Popular Providers