National Provider Identifier Database

REJUVENATION
Substance Abuse Treatment, Children

A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of children with disorders in the use of drugs, alcohol, and other substances. Medical and supportive counseling services and education services are included.


Contact Information

REJUVENATION
154 HUNTSVILLE RD
EUREKA SPRINGS, AR72632-9730
Phone: 870-438-5676
Fax: 870-438-5469
Website:
Specialty Taxonomy Code
* Substance Abuse Treatment, Children 3245S0500X

* Indicates primary specialty

NPI Profile & details for REJUVENATION

NPI Number 1992941363
Legal business name
LBN
REJUVENATION
Authorized official PURMEALIA ALLEN - (OWNER)
Entity Organization
Organization subpart No
Enumeration date 01/06/2009
Last updated 01/06/2009 - About 17 years ago
Sole proprietor1 Not specified
Identifiers n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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