Haven Detox Little Rock, LLC
NPI #1578261202 in Little Rock, Arkansas
Provider Information
- NPI Number
- 1578261202
- Entity Type
- Organization
- Organization Name
- Haven Detox Little Rock, LLC
- Primary Specialty
- Psychiatric Residential Treatment Facility
- Enumeration Date
- Feb 22, 2023
- Last Updated
- Oct 13, 2025
Practice Location
- Address
- 5201 STAGECOACH RD
- City
- Little Rock
- State
- Arkansas
- ZIP Code
- 72204-8515
- Phone
- (561) 635-2400
Authorized Official
- Name
- KIRILL VESSELOV
- Title
- PRESIDENT
- Phone
- (561) 461-3791
Specialties & Taxonomy Codes
| Specialty |
|---|
| Community Based Residential Treatment Facility, Mental Illness |
| Substance Abuse Rehabilitation Facility |
| Psychiatric Residential Treatment Facility |
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