Organization
BEHAVIORAL HEALTH PROGRAMS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLES FRANCIS KANUTE (VICE PRESIDENT OF THE BOARD)
(949) 315-9225
Entity
Organization
Contact information
Practice address
154 HUNTSVILLE RD, EUREKA SPRINGS, AR 72632-9730
(949) 313-5224
(949) 313-5224
Mailing address
PO BOX 9296, LAGUNA BEACH, CA 92652-7261
(949) 313-5240
(949) 313-5240
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
06/02/2019
Last updated
09/28/2023
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