Organization
INTEGRATED HEALTHCARE L.L.P.
Active
Other names
Hazel Street Recovery Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN NOVELLE (PARTNER)
(501) 227-7305
Entity
Organization
Contact information
Practice address
1217 HAZEL ST, TEXARKANA, TX 75501-4432
(903) 791-0385
Mailing address
1405 N PIERCE ST, STE. 202, LITTLE ROCK, AR 72207-5349
(501) 227-7305
(501) 227-4669
Taxonomy
Speciality
Code
Description
License number
State
3245S0500X
Children's Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
11/13/2006
Last updated
08/22/2020
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