Provider Demographics
NPI:1659439248
Name:FAMILY COUNSELING & RECOVERY CENTERS
Entity Type:Organization
Organization Name:FAMILY COUNSELING & RECOVERY CENTERS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:BEN
Authorized Official - Last Name:ALLEN
Authorized Official - Suffix:JR
Authorized Official - Credentials:
Authorized Official - Phone:501-663-3260
Mailing Address - Street 1:7509 CANTRELL RD
Mailing Address - Street 2:STE 213
Mailing Address - City:LITTLE ROCK
Mailing Address - State:AR
Mailing Address - Zip Code:72207-2529
Mailing Address - Country:US
Mailing Address - Phone:501-663-3260
Mailing Address - Fax:501-663-6080
Practice Address - Street 1:7509 CANTRELL RD
Practice Address - Street 2:STE 213
Practice Address - City:LITTLE ROCK
Practice Address - State:AR
Practice Address - Zip Code:72207-2529
Practice Address - Country:US
Practice Address - Phone:501-663-3260
Practice Address - Fax:501-663-6080
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-05
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AR101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)Group - Single Specialty