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PRESCOTT RECOVERY SERVICES LLC NPI 1104464544


NPI Information

NPI: 1104464544
Provider Name: PRESCOTT RECOVERY SERVICES LLC
Classification: Substance Abuse Rehabilitation Facility - 324500000X
Entity Type: Organization
Address:
805 WHITE SPAR RD
PRESCOTT, AZ
ZIP 86303
Phone: (928) 899-8105
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PRESCOTT RECOVERY SERVICES LLC is a substance abuse rehabilitation facility in Prescott, AZ. The provider is 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. PRESCOTT RECOVERY SERVICES LLC NPI is 1104464544. The provider is registered as an organization entity type.

The provider's business location address is:

805 WHITE SPAR RD
PRESCOTT, AZ
ZIP 86303-636
Phone: (928) 899-8105
Fax: (866) 697-2326

The provider's authorized official is Debra Kimbro .
The authorized official title is Director Of Finance and has the following contact phone number (706) 633-3384.

The enumeration date for this NPI number is 12/17/2019 and was last updated on 12/17/2019.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1324500000XSubstance Abuse Rehabilitation FacilityYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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