PRESCOTT DETOX CENTER LLC NPI 1417391293

NPI Information

PRESCOTT DETOX CENTER, LLC is a rehabilitation substance use disorder unit in Prescott, AZ. The provider is a distinct part of a hospital that provides medically monitored, interdisciplinary addiction-focused treatment to patients/clients who have psychoactive substance use disorders (commonly referred to as alcohol and drug abuse or substance abuse.) PRESCOTT DETOX CENTER, LLC NPI is 1417391293. The provider is registered as an organization entity type.

The provider's business location address is:

831 GAIL GARDNER WAY
PRESCOTT, AZ
ZIP 86305-606
Phone: (928) 445-3834
Fax: (928) 445-3649

The provider's authorized official is Robert Ashby .
The authorized official title is Medical Director and has the following contact phone number (480) 991-0280.

The enumeration date for this NPI number is 4/23/2013 and was last updated on 4/23/2013.

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:

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