TEEN CHALLENGE ADVENTURE RANCH – NPI #1508259169
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 children with disorders in the use of drugs, alcohol, and other substances. Medical and supportive counseling services and education services are included.

TEEN CHALLENGE ADVENTURE RANCH is a substance abuse rehabilitation facility located in MORROW, AR. NPPES has assigned the NPI number 1508259169 to TEEN CHALLENGE ADVENTURE RANCH on March 06, 2015. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “TEEN CHALLENGE ADVENTURE RANCH” is a dba name, the actual legal business name for this organization is TEEN CHALLENGE RANCH OF NORTHWEST ARKANSAS. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 3245S0500X from the Health Care Provider Taxonomy code set, which is classified as Substance Abuse Rehabilitation Facility, specializing in Substance Abuse Treatment, Children

The NPI profile was previously updated about 3 years ago on Jul 10, 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 TEEN CHALLENGE ADVENTURE RANCH below.

NPI Profile for
TEEN CHALLENGE RANCH OF NORTHWEST ARKANSAS

NPI Number
1508259169
Enumeration Date

(more than 11 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
TEEN CHALLENGE RANCH OF NORTHWEST ARKANSAS
Doing Business As (dba): TEEN CHALLENGE ADVENTURE RANCH
Primary location
19856 BOYS HOME RD
MORROW, AR 72749-9714
Phone: (479) 396-9075 Fax:
Mailing address
PO BOX 20
MORROW, AR 72749-0020
Phone: (479) 439-0279 Fax:
Organization Subpart
No
Authorized Official
LAURA JONES
BILLING MANAGER
Phone: (479) 396-9075
Updated
Certification Date
Jul 10, 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.

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.