OrganizationActive
Eaglecrest Recovery LLC
NPI 1306484860 · Substance Use Disorder Rehabilitation Clinic/Center · Bentonville, AR
Provider details
- NPI number
- 1306484860
- Entity type
- Organization
- Primary specialty
- Substance Use Disorder Rehabilitation Clinic/CenterAmbulatory Health Care Facilities
- Parent organization
- Eaglecrest Recovery LLC
- Organization subpart
- Yes
- Authorized official
- Juan Hernandez, Ceo(949) 813-5161
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
1106 Sw 2nd St
Bentonville, AR 72712-5026
Phone: (479) 367-2691
Fax: (479) 367-2899
Approximate (ZIP-level) locationGet directions
Mailing address
1101 Sw Coventry Blvd
Bentonville, AR 72712-4325
Registry dates
- Enumerated
- 2019-12-16
- Last updated
- 2020-05-19
- Certified
- 2020-05-19
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.