Eaglecrest Recovery LLC

NPI #1922804970 in Rogers, Arkansas

Provider Information

NPI Number: 1922804970
Entity Type: Organization
Organization Name: Eaglecrest Recovery LLC
Subpart: Yes (part of a larger organization)
Parent Organization: EAGLECREST RECOVERY LLC
Primary Specialty: Clinic/Center - Rehabilitation, Substance Use Disorder
Enumeration Date: Feb 20, 2025
Last Updated: Jun 10, 2025

Practice Location

Address: 308 N 24TH ST
City: Rogers
State: Arkansas
ZIP Code: 72756-3295
Phone: (844) 439-7627

Authorized Official

Name: JUAN F HERNANDEZ
Title: CEO
Phone: (949) 813-5161

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Rehabilitation, Substance Use Disorder — Rehabilitation, Substance Use Disorder	261QR0405X	Primary

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