Organization
EAGLECREST RECOVERY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JUAN F HERNANDEZ LMFT (CEO)
(949) 813-5161
Entity
Organization
Contact information
Practice address
19965 LAKEVIEW RD, SPRINGDALE, AR 72764-8892
(949) 813-5161
Mailing address
PO BOX 1728, BENTONVILLE, AR 72712-1728
(760) 521-2653
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
06/07/2022
Last updated
06/07/2022
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