Organization
PHOENIX RECOVERY CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MATTHEW FERGUSON BELL (EXECUTIVE DIRECTOR)
(501) 539-1501
Entity
Organization
Contact information
Practice address
1224 JERSEY ST, CONWAY, AR 72032-4658
(501) 499-6696
(501) 499-6639
Mailing address
1224 JERSEY ST, CONWAY, AR 72032-4658
(501) 499-6696
(501) 499-6639
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
AR
Other
Enumeration date
02/25/2015
Last updated
02/25/2015
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