| Souls Harbor Of Rogers Inc. | |
|
1206 N 2nd St Rogers AR 72756-2836 | |
| (479) 640-4225 | |
| Not Available |
| Full Name | Souls Harbor Of Rogers Inc. |
|---|---|
| Speciality | Clinic/center - Rehabilitation, Substance Use Disorder |
| Location | 1206 N 2nd St, Rogers, Arkansas |
| Authorized Official Name and Position | Charlene Fields (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 4796404225 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Souls Harbor Of Rogers Inc. 1206 N 2nd St Rogers AR 72756-2836 Ph: (479) 640-4225 | Souls Harbor Of Rogers Inc. 1206 N 2nd St Rogers AR 72756-2836 Ph: (479) 640-4225 |
| NPI Number | 1215444963 |
|---|---|
| Provider Enumeration Date | 01/03/2018 |
| Last Update Date | 01/03/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215444963 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (Arkansas) | Secondary |
| 261QR0405X | Clinic/center - Rehabilitation, Substance Use Disorder | (Arkansas) | Primary |
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