Organization
CROSS HOPE TREATMENT CENTERS, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLES L TUCKER MD (MEDICAL DIRECTOR)
(870) 424-2100
Entity
Organization
Contact information
Practice address
400 S COLLEGE ST STE 3, MOUNTAIN HOME, AR 72653-3991
(870) 424-2100
(870) 424-2323
Mailing address
PO BOX 470, ELMENDORF, TX 78112-0470
(870) 424-2100
(870) 424-2323
Taxonomy
Speciality
Code
Description
License number
State
202D00000X
Integrative Medicine Physician
—
—
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
—
—
Other
Enumeration date
06/09/2021
Last updated
11/23/2022
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