Organization
WOODRIDGE NORTHEAST, LLC
Active
Other names
Perimeter Behavioral of West Memphis
Organization subpart
No
Provider details
NPI number
Authorized official
ROCHELLE GERBER (AVP OF ADMINISTRATIVE SERVICES)
(470) 554-7903
Entity
Organization
Contact information
Practice address
600 N 7TH ST, WEST MEMPHIS, AR 72301
(870) 394-7100
(870) 394-7111
Mailing address
2520 NORTHWINDS PKWY STE 550, ALPHARETTA, GA 30009-2236
(470) 554-7902
Taxonomy
Speciality
Code
Description
License number
State
323P00000X
Psychiatric Residential Treatment Facility
Primary
213
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
166757125
—
AR
Enumeration date
01/16/2008
Last updated
11/23/2021
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