NORTHEAST ARKANSAS REGIONAL RECOVERY CENTER – NPI #1114365988
Substance Abuse Rehabilitation Facility

A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.

Health Care Provider Taxonomy Code for Substance Abuse Rehabilitation Facility

NORTHEAST ARKANSAS REGIONAL RECOVERY CENTER is a substance abuse rehabilitation facility located in JONESBORO, AR. NPPES has assigned the NPI number 1114365988 to NORTHEAST ARKANSAS REGIONAL RECOVERY CENTER on June 13, 2013. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “NORTHEAST ARKANSAS REGIONAL RECOVERY CENTER” is a dba name, the actual legal business name for this organization is CROWLEY'S RIDGE DEVELOPMENT COUNCIL, INC.. The primary taxonomy selected by this provider is 324500000X from the Health Care Provider Taxonomy code set, which is classified as Substance Abuse Rehabilitation Facility.

The NPI profile was previously updated about 3 years ago on Mar 06, 2023. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for NORTHEAST ARKANSAS REGIONAL RECOVERY CENTER below.

NPI Profile for
CROWLEY'S RIDGE DEVELOPMENT COUNCIL, INC.

NPI Number
1114365988
Enumeration Date

(about 13 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
CROWLEY'S RIDGE DEVELOPMENT COUNCIL, INC.
Doing Business As (dba): NORTHEAST ARKANSAS REGIONAL RECOVERY CENTER
Primary location
6009 C W POST RD
JONESBORO, AR 72401-8139
Phone: (870) 932-0228 Fax: (870) 910-5689
Mailing address
Same as primary location
Organization Subpart
Yes - NORTHEAST ARKANSAS REGIONAL RECOVERY CENTER is subpart of another organization.
Authorized Official
JEREMY WOOLDRIDGE
CEO
Phone: (870) 932-0228
Updated
Certification Date
Mar 06, 2023

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
324500000X
- Substance Abuse Rehabilitation Facility (Primary)		 AR 00124

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.