Haven Detox of West Memphis, LLC
NPI #1043082555 in West Memphis, Arkansas
Provider Information
- NPI Number
- 1043082555
- Entity Type
- Organization
- Organization Name
- Haven Detox of West Memphis, LLC
- Primary Specialty
- Substance Abuse Rehabilitation Facility
- Enumeration Date
- Oct 27, 2023
- Last Updated
- Oct 27, 2023
Practice Location
- Address
- 410 S AVALON ST
- City
- West Memphis
- State
- Arkansas
- ZIP Code
- 72301-4183
- Phone
- (561) 635-2400
Authorized Official
- Name
- KIRILL VESSELOV
- Title
- PRESIDENT
- Phone
- (561) 635-2400
Specialties & Taxonomy Codes
| Specialty |
|---|
| Substance Abuse Rehabilitation Facility |
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