Organization
FRESHLY RENEWED TRANSITIONAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TERRELL NEWTON (OWNER)
(501) 944-1406
Entity
Organization
Contact information
Practice address
8404 BASELINE RD, LITTLE ROCK, AR 72209-4339
(501) 663-0708
(501) 313-4062
Mailing address
12 LOUISIANA DOWNS CV, SCOTT, AR 72142-9719
(501) 944-1406
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
—
—
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
—
—
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
05/29/2019
Last updated
06/19/2025
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