Organization · Type 2 NPI

Crowley's Ridge Development Council, Inc.

Substance Abuse Rehabilitation Facility · Jonesboro, AR

NPI number 1114365988 Active

Practice location

6009 C W Post Rd
Jonesboro, AR 72401-8139

Fax (870) 910-5689

Specialties and licenses

Taxonomy	Code	License
Substance Abuse Rehabilitation Facility Primary	324500000X	00124 (AR)

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 individuals with disorders in the abuse of drugs, alcohol, and other substances.

Another provider at this address

Lisa Holland, CADCAddiction (Substance Use Disorder) Counselor Jonesboro, AR NPI 1306356415

Other substance abuse rehabilitation facility providers in Jonesboro

See all in Jonesboro →

NPI record

NPI: 1114365988
Entity type: Organization (Type 2)
Issued: Jun 13, 2013
Last updated: Mar 6, 2023
Status: Active
Subpart: Yes of Crowley's Ridge Development Council, Inc.

Other names

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Northeast Arkansas Regional Recovery Center · doing business as

Authorized official

Jeremy Wooldridge, LCSW
CEO
(870) 932-0228

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1114365988

Crowley's Ridge Development Council, Inc.'s National Provider Identifier is 1114365988, issued on Jun 13, 2013. The primary taxonomy on file is Substance Abuse Rehabilitation Facility (324500000X), and the practice location is in Jonesboro, AR. The record was last updated on Mar 6, 2023.