Organization · Type 2 NPI
Eaglecrest Recovery LLC
Substance Use Disorder Rehabilitation Clinic/Center · Bentonville, AR
NPI number
1306484860
Active
Practice location
1106 SW 2nd St
Bentonville, AR 72712-5026
Fax (479) 367-2899
Mailing address
1101 SW Coventry Blvd
Bentonville, AR 72712-4325
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Substance Use Disorder Rehabilitation Clinic/Center Primary | 261QR0405X | None listed |
Substance Use Disorder Rehabilitation Clinic/Center: Definition to come...
About NPI 1306484860
Eaglecrest Recovery LLC's National Provider Identifier is 1306484860, issued on Dec 16, 2019. The primary taxonomy on file is Substance Use Disorder Rehabilitation Clinic/Center (261QR0405X), and the practice location is in Bentonville, AR. The record was last updated on May 19, 2020.