SUMMIT BEHAVIORAL HEALTH OF AZ, 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. SUMMIT BEHAVIORAL HEALTH OF AZ, LLC NPI is 1356963839. The provider is registered as an organization entity type.
The provider's business location address is:
1989 WILLOW LAKE RD UNIT 100-105
PRESCOTT, AZ
ZIP 86301-885
Phone: (928) 756-0694
Fax: (928) 708-9620
The provider's authorized official is Benjamin T Isenberg .
The authorized official title is Ceo and has the following contact phone number (928) 710-7021.
The CLIA number assigned to this NPI record is 03D2193823 - ancillary testing site in health care center with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 5/7/2020 and was last updated on 5/7/2020.