Healthcare Provider Details

I. General information

NPI: 1508791005
Provider Name (Legal Business Name): THE RECOVERY INSTITUTE OF ARKANSAS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/16/2026
Last Update Date: 06/25/2026
Certification Date: 06/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2702 E RACE AVE # 2710
SEARCY AR
72143-4734
US

IV. Provider business mailing address

2702 E RACE AVE # 2710
SEARCY AR
72143-4734
US

V. Phone/Fax

Practice location:
  • Phone: 501-380-0180
  • Fax:
Mailing address:
  • Phone: 501-380-0180
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QR0405X
TaxonomySubstance Use Disorder Rehabilitation Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: NICHOLAS ACOSTA
Title or Position: COO
Credential:
Phone: 501-380-0180