Whalio Doctors

NPI 1386376754

Nea Divine Intervention INC

Organisation Substance Abuse Rehabilitation Facility Jonesboro, AR

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
Residential Treatment Facilities Taxonomy 324500000X

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.