Provider Demographics
NPI:1134779283
Name:CENTRAL ARKANSAS TREATMENT SERVICES, LLC
Entity type:Organization
Organization Name:CENTRAL ARKANSAS TREATMENT SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/MEDICAL DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:PETER
Authorized Official - Middle Name:W
Authorized Official - Last Name:GURESKY
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:501-725-9098
Mailing Address - Street 1:5407 HIGHWAY 5 N STE 6
Mailing Address - Street 2:
Mailing Address - City:BRYANT
Mailing Address - State:AR
Mailing Address - Zip Code:72022-7034
Mailing Address - Country:US
Mailing Address - Phone:501-725-9098
Mailing Address - Fax:
Practice Address - Street 1:5407 HIGHWAY 5 N STE 6
Practice Address - Street 2:
Practice Address - City:BRYANT
Practice Address - State:AR
Practice Address - Zip Code:72022-7034
Practice Address - Country:US
Practice Address - Phone:501-725-9098
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-09-19
Last Update Date:2023-12-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QM2800XAmbulatory Health Care FacilitiesClinic/CenterMethadoneGroup - Single Specialty