Organization · Type 2 NPI
5 Residential LLC
Children's Substance Abuse Rehabilitation Facility · Jonesboro, AR
Practice location
2209 Grant Ave Ste A
Jonesboro, AR 72401-6195
Fax (870) 333-5301
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Children's Substance Abuse Rehabilitation Facility Primary | 3245S0500X | None listed |
Children's Substance Abuse Rehabilitation Facility: A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of children with disorders in the use of drugs, alcohol, and other substances. Medical and supportive counseling services and education services are included.
About NPI 1104398460
5 Residential LLC's National Provider Identifier is 1104398460, issued on Dec 27, 2018. The primary taxonomy on file is Children's Substance Abuse Rehabilitation Facility (3245S0500X), and the practice location is in Jonesboro, AR. The record was last updated on Dec 27, 2018.