NPI 1104398460

5 Residential LLC

Organisation Children's Substance Abuse Rehabilitation Facility Jonesboro, AR

Practice location

Address: 2209 Grant Ave STE a, Jonesboro, AR 72401-6195
Phone: (870) 333-5300
Fax: (870) 333-5301

Authorised official

Name: Beau Hunter Eaves
Title: Cfo
Phone: (870) 273-2096

Registered specialties

Children's Substance Abuse Rehabilitation Facility Primary

Residential Treatment Facilities Taxonomy 3245S0500X

Other Substance Abuse Rehabilitation Facility providers in Arkansas →

Registry record

NPI: 1104398460
Entity type: Organization
NPI issued: 27 Dec 2018
Record last updated: 27 Dec 2018

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.