Provider Demographics
NPI:1255162780
Name:REFINING TOUCH BEHAVIORAL HEALTH & RECOVERY
Entity type:Organization
Organization Name:REFINING TOUCH BEHAVIORAL HEALTH & RECOVERY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:NATHANIEL
Authorized Official - Middle Name:
Authorized Official - Last Name:JOHNSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:901-428-5865
Mailing Address - Street 1:220 E BOND AVE STE 109
Mailing Address - Street 2:
Mailing Address - City:WEST MEMPHIS
Mailing Address - State:AR
Mailing Address - Zip Code:72301-3165
Mailing Address - Country:US
Mailing Address - Phone:901-428-5865
Mailing Address - Fax:
Practice Address - Street 1:220 E BOND AVE STE 109
Practice Address - Street 2:
Practice Address - City:WEST MEMPHIS
Practice Address - State:AR
Practice Address - Zip Code:72301-3165
Practice Address - Country:US
Practice Address - Phone:901-428-5865
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-08-07
Last Update Date:2024-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
No261QM0855XAmbulatory Health Care FacilitiesClinic/CenterAdolescent and Children Mental Health