NPI 1043082555

Haven Detox of West Memphis, LLC

Organisation Substance Abuse Rehabilitation Facility West Memphis, AR

Practice location

Address: 410 S Avalon St, West Memphis, AR 72301-4183
Phone: (561) 635-2400
Mailing address: 2925 10th Ave N, Palm Springs, FL 33461-3000

Authorised official

Name: Kirill Vesselov
Title: President
Phone: (561) 635-2400

Registered specialties

Substance Abuse Rehabilitation Facility Primary

Residential Treatment Facilities Taxonomy 324500000X

Other Substance Abuse Rehabilitation Facility providers in Arkansas →

Registry record

NPI: 1043082555
Entity type: Organization
NPI issued: 27 Oct 2023
Record last updated: 27 Oct 2023

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.