Organization · Type 2 NPI

Teen Challenge Ranch of Northwest Arkansas

Children's Substance Abuse Rehabilitation Facility · Morrow, AR

NPI number 1508259169 Active

Practice location

19856 Boys Home Rd
Morrow, AR 72749-9714

Call (479) 396-9075 Map

Mailing address

PO Box 20
Morrow, AR 72749-0020

Specialties and licenses

Taxonomy	Code	License
Emotionally Disturbed Childrens' Residential Treatment Facility	322D00000X	None listed
Substance Abuse Rehabilitation Facility	324500000X	None listed
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.

NPI record

NPI: 1508259169
Entity type: Organization (Type 2)
Issued: Mar 6, 2015
Last updated: Jul 10, 2023
Status: Active

Other names

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Teen Challenge Adventure Ranch · doing business as
Teen Challenge Adventure Ranch · doing business as

Authorized official

Laura Jones
Billing Manager
(479) 396-9075

Verify this record

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 1508259169

Teen Challenge Ranch of Northwest Arkansas's National Provider Identifier is 1508259169, issued on Mar 6, 2015. The primary taxonomy on file is Children's Substance Abuse Rehabilitation Facility (3245S0500X), and the practice location is in Morrow, AR. The record was last updated on Jul 10, 2023.