Nsrc Oak Grove LLC
NPI #1255971610 in North Little Rock, Arkansas
Provider Information
- NPI Number
- 1255971610
- Entity Type
- Organization
- Organization Name
- Nsrc Oak Grove LLC
- Primary Specialty
- Substance Abuse Rehabilitation Facility
- Enumeration Date
- Jan 13, 2020
- Last Updated
- Feb 10, 2021
Practice Location
- Address
- 10025 OAKLAND DR
- State
- Arkansas
- ZIP Code
- 72118-1942
- Phone
- (501) 773-0234
Authorized Official
- Name
- GRANT GORDY
- Title
- CFO
- Phone
- (501) 319-7074
Specialties & Taxonomy Codes
| Specialty |
|---|
| Substance Abuse Rehabilitation Facility |
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