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NEA DIVINE INTERVENTION INC
NPI 1386376754
Substance Abuse Rehabilitation Facility in Jonesboro, AR

Active since June 25, 2022
2504 FAIRFIELD DR, JONESBORO, AR 72401(870) 206-4455 Get Directions Write a Review

NPPES record last updated: June 25, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Nea Divine Intervention Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NEA DIVINE INTERVENTION INC (NPI 1386376754) is a healthcare organization registered as a substance abuse rehabilitation facility in Jonesboro, Arkansas and active in the NPI registry since June 2022. The organization lists Alexandra Mazique-gilbert, Administrative Assistant, as its authorized official.

NPPES Registry Identity

NPI1386376754
Entity TypeOrganization
Primary Taxonomy324500000X
Legal Business NameNEA DIVINE INTERVENTION INC
Location Address2504 FAIRFIELD DRJonesboro, AR 72401-6474
Mailing Address4213 Teri Dawn CvJonesboro, AR 72405-7839 · (870) 206-4455
Phone(870) 206-4455
Organization SubpartNo
Authorized OfficialAlexandra Mazique-gilbertAdministrative Assistant · (870) 316-0234
Enumeration DateJune 25, 2022
NPPES CertifiedJune 25, 2022
✔ NPI 1386376754 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySubstance Abuse Rehabilitation FacilityResidential Treatment Facilities
Taxonomy Code324500000X
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.
2504 FAIRFIELD DR, Jonesboro, AR 72401
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Other Identifiers 1

Medicaid01031991AR

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Nea Divine Intervention Inc's NPI number?

The NPI number for Nea Divine Intervention Inc is 1386376754. It was assigned to this organization in the NPPES registry on June 25, 2022.

Where is Nea Divine Intervention Inc located?

Nea Divine Intervention Inc is located at 2504 Fairfield Dr, Jonesboro, AR 72401. The listed phone number is (870) 206-4455.

What is Nea Divine Intervention Inc's specialty?

The primary specialty registered for this NPI is Substance Abuse Rehabilitation Facility with taxonomy code 324500000X.

When was this NPI record last updated?

The NPPES record for Nea Divine Intervention Inc was last updated on June 25, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.