Organization Name: | WOODRIDGE OF WEST MEMPHIS, LLC |
NPI Number: | 1134521685 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | MIKE WHITE (CFO) |
Mailing Address: | 600 N 7th St West Memphis |
State: | AR US |
Postal Code: | 723013235 |
Phone Number: | 8703944113 |
Fax Number: | 8703949701 |
NPI Enumeration Date: | 09/16/2014 |
NPI Last Update Date: | 09/16/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 283Q00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AR |
Taxonomy Type: | Hospitals |
Taxonomy Classification: | Psychiatric Hospital |
Taxonomy Specialization: | |
Taxonomy Definition: | An organization including a physical plant and personnel that provides multidisciplinary diagnostic and treatment mental health services to patients requiring the safety, security, and shelter of the inpatient or partial hospitalization settings. |