Organization
NSRC OAK GROVE LLC
Active
Other names
Natural State Recovery
Organization subpart
No
Provider details
NPI number
Authorized official
GRANT GORDY (CFO)
(501) 319-7074
Entity
Organization
Contact information
Practice address
10025 OAKLAND DR, NORTH LITTLE ROCK, AR 72118-1942
(501) 773-0234
Mailing address
10025 OAKLAND DR, NORTH LITTLE ROCK, AR 72118-1942
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
01/13/2020
Last updated
02/10/2021
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