NPI 1265090518
Behavioral Health Programs
Practice location
- Address
- 154 Huntsville Rd, Eureka Springs, AR 72632-9730
- Phone
- (949) 313-5224
- Fax
- (949) 313-5224
- Mailing address
- PO Box 9296, Laguna Beach, CA 92652-7261
Authorised official
- Name
- Charles Francis Kanute
- Title
- Vice President of the Board
- Phone
- (949) 315-9225
Registered specialties
Substance Abuse Rehabilitation Facility
Primary
Registry record
- NPI
- 1265090518
- Entity type
- Organization
- NPI issued
- 2 Jun 2019
- Record last updated
- 28 Sep 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.