Haven Detox Lr Operating Subsidiary, LLC
NPI #1902755341 in Little Rock, Arkansas
Provider Information
- NPI Number
- 1902755341
- Entity Type
- Organization
- Organization Name
- Haven Detox Lr Operating Subsidiary, LLC
- Primary Specialty
- Psychiatric Residential Treatment Facility
- Enumeration Date
- Jan 27, 2026
- Last Updated
- Jan 27, 2026
Practice Location
- Address
- 5201 STAGECOACH RD
- City
- Little Rock
- State
- Arkansas
- ZIP Code
- 72204-8515
- Phone
- (305) 361-9115
Authorized Official
- Name
- DANIEL MOORE
- Title
- AUTHORIZED OFFICIAL
- Phone
- (305) 361-9115
Specialties & Taxonomy Codes
| Specialty |
|---|
| Community Based Residential Treatment Facility, Mental Illness |
| Substance Abuse Rehabilitation Facility |
| Psychiatric Residential Treatment Facility |
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| Psychiatric Services, INC |  AI Deep Dive |
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