NPI 1386376754
Nea Divine Intervention INC
Practice location
- Address
- 2504 Fairfield Dr, Jonesboro, AR 72401-6474
- Phone
- (870) 206-4455
- Mailing address
- 4213 Teri Dawn Cv, Jonesboro, AR 72405-7839
Authorised official
- Name
- Alexandra Mazique-Gilbert
- Title
- Administrative Assistant
- Phone
- (870) 316-0234
Registered specialties
Substance Abuse Rehabilitation Facility
Primary
Registry record
- NPI
- 1386376754
- Entity type
- Organization
- NPI issued
- 25 Jun 2022
- Record last updated
- 25 Jun 2022
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.