| Rite Of Passage, Inc | |
|
1501 Woody Dr Alexander AR 72002-9420 | |
| (501) 682-9800 | |
| Not Available |
| Full Name | Rite Of Passage, Inc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1501 Woody Dr, Alexander, Arkansas |
| Authorized Official Name and Position | Rusty E. Alexander (BUSINESS MANAGING DIRECTOR) |
| Authorized Official Contact | 7753922639 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Rite Of Passage, Inc 2560 Business Pkwy Ste A Minden NV 89423-8961 Ph: () - | Rite Of Passage, Inc 1501 Woody Dr Alexander AR 72002-9420 Ph: (501) 682-9800 |
| NPI Number | 1679330203 |
|---|---|
| Provider Enumeration Date | 02/29/2024 |
| Last Update Date | 02/29/2024 |
| Certification Date | 02/29/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679330203 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |