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Contact Information

PINNACLE HOUSE PSYCHOSOCIAL REHABILITATION PROGRAM
1020 WEST DAISY L GATSON BATES DRIVE
LITTLE ROCK, AR72202
 Phone: 501-371-9058
 Fax: 501-686-9618
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Community/Behavioral Health

251S00000X
Indicates primary specialty

NPI Profile & details for PINNACLE HOUSE PSYCHOSOCIAL REHABILITATION PROGRAM

NPI Number 1386880961
LBN Legal business name PINNACLE HOUSE PSYCHOSOCIAL REHABILITATION PROGRAM
Authorized official TOM GRUNDEN - (EXECUTIVE DIRECTOR)
Entity Organization
Organization subpart 1 No
Enumeration date 01/02/2009
Last updated 01/02/2009 - About 17 years ago
Identifiers
AR Medicaid 137440726
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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