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Haven Detox Lr Operating Subsidiary, LLC — NPI 1902755341, Little Rock, AR | NPI Central

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NPI 1902755341

OrganizationActive

Haven Detox Lr Operating Subsidiary, LLC

NPI 1902755341 · Psychiatric Residential Treatment Facility · Little Rock, AR

Provider details

NPI number: 1902755341
Entity type: Organization
Primary specialty: Psychiatric Residential Treatment FacilityResidential Treatment Facilities
Organization subpart: No
Authorized official: Tara Gurney, Authorized Official(561) 517-3400

Specialties & taxonomies

Psychiatric Residential Treatment FacilityPrimary323P00000X
Residential Treatment Facilities
Substance Abuse Rehabilitation Facility324500000X
Residential Treatment Facilities
Mental Illness Community Based Residential Treatment Facility320800000X
Residential Treatment Facilities

Practice location

5201 Stagecoach Rd

Little Rock, AR 72204-8515

Phone: (501) 406-0903

Approximate (ZIP-level) locationGet directions

More AR providers

Mailing address

2925 10th Ave N

Palm Springs, FL 33461-3000

Additional practice locations (1)

111 Smarthouse Way
North Little Rock, AR 72114-5575
Phone: (501) 406-0903

Registry dates

Enumerated: 2026-01-27
Last updated: 2026-05-28
Certified: 2026-05-28

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.