NPI 1255971610

Nsrc Oak Grove LLC

Organisation Substance Abuse Rehabilitation Facility North Little Rock, AR

Practice location

Address: 10025 Oakland Dr, North Little Rock, AR 72118-1942
Phone: (501) 773-0234

Authorised official

Name: Grant Gordy
Title: Cfo
Phone: (501) 319-7074

Registered specialties

Substance Abuse Rehabilitation Facility Primary

Residential Treatment Facilities Taxonomy 324500000X

Other Substance Abuse Rehabilitation Facility providers in Arkansas →

Registry record

NPI: 1255971610
Entity type: Organization
NPI issued: 13 Jan 2020
Record last updated: 10 Feb 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.