NPI 1578261202
Haven Detox Little Rock, LLC
Practice location
- Address
- 5201 Stagecoach Rd, Little Rock, AR 72204-8515
- Phone
- (561) 635-2400
- Mailing address
- 2925 10th Ave N, Palm Springs, FL 33461-3000
Authorised official
- Name
- Kirill Vesselov
- Title
- President
- Phone
- (561) 461-3791
Registered specialties (3)
Psychiatric Residential Treatment Facility
Primary
Mental Illness Community Based Residential Treatment Facility
Substance Abuse Rehabilitation Facility
Registry record
- NPI
- 1578261202
- Entity type
- Organization
- NPI issued
- 22 Feb 2023
- Record last updated
- 13 Oct 2025
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.