| Va | |
|
2200 Fort Roots Dr Towbin Health Center, Sts (116e/nlr) North Little Rock AR 72114-1709 | |
| (501) 257-3204 | |
| Not Available |
| Full Name | Va |
|---|---|
| Speciality | Psychiatric Hospital |
| Location | 2200 Fort Roots Dr, North Little Rock, Arkansas |
| Authorized Official Name and Position | Susan J Stevenson (ADDICTION THERAPIST/PRG COORDINATOR) |
| Authorized Official Contact | 5012573204 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Va 2200 Fort Roots Dr Towbin Health Center, Sts (116e/nlr) North Little Rock AR 72114-1709 Ph: (501) 257-3204 | Va 2200 Fort Roots Dr Towbin Health Center, Sts (116e/nlr) North Little Rock AR 72114-1709 Ph: (501) 257-3204 |
| NPI Number | 1609985563 |
|---|---|
| Provider Enumeration Date | 08/30/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609985563 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 1455 (Minnesota) | Primary |
| 283Q00000X | Psychiatric Hospital | (* (Not Available)) | Primary |
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