Doctor Name: | CARLA CHRISTINE KARLSON |
NPI Number: | 1083049894 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | |
Business Practice Address: | 6841 W 13th Ave Pine Bluff, AR - 716028680 |
Business Phone Number: | 8708791051 |
Business Fax Number: | 8708790118 |
Mailing Address: | 6841 W 13th Ave, PINE BLUFF |
State: | AR |
Postal Code: | 716028680 |
Phone Number: | 8708791051 |
Fax Number: | 8708790118 |
NPI Enumeration Date: | 09/11/2013 |
NPI Last Update Date: | 09/11/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 324500000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Residential Treatment Facilities |
Taxonomy Classification: | Substance Abuse Rehabilitation Facility |
Taxonomy Specialization: | |
Taxonomy Definition: | A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances. |