Organization
WOODRIDGE OF FORREST CITY, LLC
Active
Other names
Woodridge Behavioral Care of Forrest City, Perimeter Behavioral of Forrest City
Organization subpart
No
Provider details
NPI number
Authorized official
ROCHELLE GERBER (AVP OF ADMINISTRATIVE SERVICES)
(470) 554-7903
Entity
Organization
Contact information
Practice address
603 KITTEL RD, FORREST CITY, AR 72335-7728
(870) 633-3200
Mailing address
2520 NORTHWINDS PKWY STE 550, ALPHARETTA, GA 30009-2236
(470) 554-7903
Taxonomy
Speciality
Code
Description
License number
State
323P00000X
Psychiatric Residential Treatment Facility
Primary
APPROVED 12/4/07
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
166572125
—
AR
Enumeration date
12/06/2007
Last updated
11/23/2021
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