1114365988 NPI number — CROWLEY'S RIDGE DEVELOPMENT COUNCIL, INC.

Table of content: (NPI 1114365988)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1114365988 NPI number — CROWLEY'S RIDGE DEVELOPMENT COUNCIL, INC.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
CROWLEY'S RIDGE DEVELOPMENT COUNCIL, INC.
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
NORTHEAST ARKANSAS REGIONAL RECOVERY CENTER
Provider Other Organization Name Type Code:
3
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1114365988
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
03/06/2023
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
6009 C W POST RD
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
JONESBORO
Provider Business Mailing Address State Name:
AR
Provider Business Mailing Address Postal Code:
72401-8139
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
870-932-0228
Provider Business Mailing Address Fax Number:
870-910-5689

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
6009 C W POST RD
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
JONESBORO
Provider Business Practice Location Address State Name:
AR
Provider Business Practice Location Address Postal Code:
72401-8139
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
870-932-0228
Provider Business Practice Location Address Fax Number:
870-910-5689
Provider Enumeration Date:
06/13/2013

Additional Information

Authorized Official

Authorized Official Last Name:
WOOLDRIDGE
Authorized Official First Name:
JEREMY
Authorized Official Middle Name:
Authorized Official Title or Position:
CEO
Authorized Official Telephone Number:
870-932-0228

Provider Taxonomy Codes

  • Taxonomy code: 324500000X , with the licence number:  00124 , registered in the state of AR ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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