East Arkansas Substance Abuse Program

Primary specialty

Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X

License

CIT Issued in AR

Legal business name

EAST ARKANSAS SUBSTANCE ABUSE PROGRAM

Doing business as

Phillips County Treatment Center

Practice address

2426 Highway 49
West Helena, AR 72390-9562

Phone

(870) 572-3733

Fax

(870) 572-3785

NPI assigned

Jul 1, 2011

Last updated

Jul 1, 2011By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Nada Nix Moore, CIT, MHPP

Title

Counselor in Training

Phone

(870) 572-3733

Specialties & licenses 1

Addresses

Other names 1

• Phillips County Treatment Center Doing business as

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1309478400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1309478400000",
    "number": "1679860308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2426 HIGHWAY 49",
            "city": "WEST HELENA",
            "state": "AR",
            "postal_code": "723909562",
            "telephone_number": "870-572-3733",
            "fax_number": "870-572-3785"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2426 HIGHWAY 49",
            "city": "WEST HELENA",
            "state": "AR",
            "postal_code": "723909562",
            "telephone_number": "870-572-3733",
            "fax_number": "870-572-3785"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAST ARKANSAS SUBSTANCE ABUSE PROGRAM",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-07-01",
        "last_updated": "2011-07-01",
        "status": "A",
        "authorized_official_last_name": "MOORE",
        "authorized_official_first_name": "NADA",
        "authorized_official_middle_name": "NIX",
        "authorized_official_title_or_position": "COUNSELOR IN TRAINING",
        "authorized_official_telephone_number": "870-572-3733",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "CIT, MHPP"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "AR",
            "license": "CIT",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Phillips County Treatment Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Substance Abuse Rehabilitation Facility in West Helena, AR
• Providers in West Helena, AR by specialty
• Substance Abuse Rehabilitation Facility in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.