Woodridge Northeast, Llc in West Memphis - Psychiatric Residential Treatment Facility
Woodridge Northeast, Llc - NPI 1134305436
Woodridge Northeast, Llc is a Psychiatric Residential Treatment Facility in West Memphis, Arkansas. Woodridge Northeast, Llc practices all healthcare services and medical treatments related to Psychiatric Residential Treatment Facility. The NPI Number for Woodridge Northeast, Llc is 1134305436. The last update date is 2021-11-23.
Woodridge Northeast, Llc's current location address is 600 N 7th St, West Memphis, Arkansas. You can contact this provider via phone number 8703947100 and fax number 8703947111. The mailing address for Woodridge Northeast, Llc is 600 N 7th St, West Memphis, Arkansas. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Woodridge Northeast, Llc |
|---|---|
| Address | 600 N 7th St, West Memphis, Arkansas |
| Phone Number | 8703947100 |
| Fax Number | 8703947111 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | AVP OF ADM |
|---|---|
| Authorized Official Name | Gerber Rochelle |
| Telephone Number | 4705547903 |
NPI Number Detail
| NPI Number | 1134305436 |
|---|---|
| Provider Enumeration Date | 2008-01-16 |
| Last Updated Date | 2021-11-23 |
Provider Mailing Address Detail
| Address | 600 N 7th St |
|---|---|
| City | West Memphis |
| State | Arkansas (AR) |
| Post Code | 72301 |
| Phone Number | 8703947100 |
| Fax Number | 8703947111 |
Provider's Primary Taxonomy Detail
| Speciality | Psychiatric Residential Treatment Facility |
|---|---|
| Taxonomy | 323P00000X |
| Licence No | 213 |
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Definition: A residential treatment facility (RTF) is a facility or distinct part of a facility that provides to children and adolescents, a total, twenty-four hour, therapeutically planned group living and learning situation where distinct and individualized ps |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 166757125 | AR | -- |
Post Comment/ Review Below
What is the Woodridge Northeast, Llc's 1134305436?
The Woodridge Northeast, Llc's NPI (National Provider Identifier) Number is 1134305436. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you kindly provide the complete physical address where Woodridge Northeast, Llc's facilities are geographically located?
The facilities of Woodridge Northeast, Llc are physically situated at the following location: 600 N 7Th St, West Memphis, AR, 72301.
What is Woodridge Northeast, Llc's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Woodridge Northeast, Llc is Psychiatric Residential Treatment Facility, and the taxonomy code that classifies this field of practice is 323P00000X.
On what date did Woodridge Northeast, Llc receive its 1134305436 assignment from the Centers for Medicare & Medicaid Services?
The Woodridge Northeast, Llc was assigned its 1134305436 on 2008-01-16, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details pertaining to Woodridge Northeast, Llc last refreshed?
The information related to the Woodridge Northeast, Llc, including its address, specialty, and other relevant details, was last updated on 2021-11-23.