Organization
SOULS HARBOR OF ROGERS INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLENE FIELDS (EXECUTIVE DIRECTOR)
(479) 640-4225
Entity
Organization
Contact information
Practice address
1206 N 2ND ST, ROGERS, AR 72756-2836
(479) 640-4225
Mailing address
1206 N 2ND ST, ROGERS, AR 72756-2836
(479) 640-4225
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
—
AR
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
—
AR
Other
Enumeration date
01/03/2018
Last updated
01/03/2018
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