NPI 1003461955

Eaglecrest Recovery LLC

Organisation Substance Abuse Rehabilitation Facility Bentonville, AR

Practice location

Address: 1101 SW Coventry Blvd, Bentonville, AR 72712-4325
Phone: (479) 367-2691

Authorised official

Name: John Hernandez
Title: Ceo
Phone: (949) 813-5161

Registered specialties

Substance Abuse Rehabilitation Facility Primary

Residential Treatment Facilities Taxonomy 324500000X

Other Substance Abuse Rehabilitation Facility providers in Arkansas →

Registry record

NPI: 1003461955
Entity type: Organization
NPI issued: 7 Aug 2019
Record last updated: 2 Sep 2021

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.