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EAGLECREST RECOVERY LLC 1336817949

Overview
Name: EAGLECREST RECOVERY LLC Specialty: Substance Abuse Rehabilitation Facility Type of Practice: Organization Provider/Org: Medical School: Graduation year from medical school: Affiliation:
Specialties
Practice Type: Residential Treatment Facilities Classification: Substance Abuse Rehabilitation Facility Specialization: . Definition of Specialty: 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.
License & NPI
License #(s): , , , , License State(s): , , , ,
Addresses
Practice Location: EAGLECREST RECOVERY LLC,1101 SW COVENTRY BLVD,BENTONVILLE,AR,727124325,US Mailing Address: EAGLECREST RECOVERY LLC,PO BOX 1728,BENTONVILLE,AR,727121728,US
Contact #
Practice location phone #: 7605212653 Practice location fax #: Mailing address Phone #: 7605212653 Mailing Address fax #: Authorized official Name/Telephone #:JUAN, F, HERNANDEZ, LMFT, CEO 9498135161
Misc
Date NPI was obtained: 08/31/2021 Last data data was updated: 09/02/2021 Insurances:

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