OrganizationActive
Integrated Healthcare L.L.P.
NPI 1437220969 · Children's Substance Abuse Rehabilitation Facility · Texarkana, TX
Provider details
- NPI number
- 1437220969
- Entity type
- Organization
- Primary specialty
- Children's Substance Abuse Rehabilitation FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- John Novelle, Partner(501) 227-7305
Specialties & taxonomies
Residential Treatment Facilities
Practice location
1217 Hazel St
Texarkana, TX 75501-4432
Phone: (903) 791-0385
Approximate (ZIP-level) locationGet directions
Mailing address
1405 N Pierce St
Little Rock, AR 72207-5349
Other names (DBA / former)
- Doing business as
- Hazel Street Recovery Center
Registry dates
- Enumerated
- 2006-11-13
- Last updated
- 2020-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.