Organization
MAGNOLIA RECOVERY COMMUNITY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KASIA PABIAN CRNA (CEO)
(501) 454-9938
Entity
Organization
Contact information
Practice address
3601 W ROOSEVELT RD, LITTLE ROCK, AR 72204-5560
(501) 454-9938
Mailing address
3601 W ROOSEVELT RD, LITTLE ROCK, AR 72204-5560
(501) 454-9938
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
—
—
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
03/10/2025
Last updated
03/10/2025
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