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HAVEN DETOX LITTLE ROCK, LLC
5201 STAGECOACH RD
LITTLE ROCK, AR72204-8515
 Phone: 561-635-2400
 Fax:
 Website:
Indicates primary specialty

NPI Profile & details for HAVEN DETOX LITTLE ROCK, LLC

NPI Number 1578261202
LBN Legal business name HAVEN DETOX LITTLE ROCK, LLC
Authorized official KIRILL VESSELOV - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 02/22/2023
Last updated 10/13/2025 - About 8 months ago
Identifiers n/a
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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