Organization
JEREMIAH RECOVERY HOUSE, INC.
Active
Other names
29 11 HEALING AND RECOVERY CENTER
Organization subpart
No
Provider details
NPI number
Authorized official
VICKIE POULSON (CEO)
(870) 716-9365
Entity
Organization
Contact information
Practice address
706 PARK ST, BERRYVILLE, AR 72616-3134
(870) 661-2099
Mailing address
801 W TRIMBLE AVE, BERRYVILLE, AR 72616-5101
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
—
—
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
12/08/2022
Last updated
12/04/2025
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