03D2119860 CLIA NUMBER - PARAMOUNT RECOVERY CENTER LLC

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Laboratory Demographics

CLIA Number: 03D2119860

Facility Name: PARAMOUNT RECOVERY CENTER LLC

Facility Address:
637 W HILLSIDE AVE
PRESCOTT, AZ
ZIP 86301
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Facility Phone Number: (928) 227-1863

Facility Type: COMPREHENSIVE OUTPATIENT REHAB

Certificate Type: Waiver

NPI Number: 1578077632

Taxonomy: 324500000X - Substance Abuse Rehabilitation Facility
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.

CLIA Record

Field Name	Field Value
CLIA Number	03D2119860
LAB Type	COMPREHENSIVE OUTPATIENT REHAB
Facility Name	PARAMOUNT RECOVERY CENTER LLC
Street	637 W HILLSIDE AVE
City	PRESCOTT
State	AZ
ZIP	86301
Phone	(928) 227-1863

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This page was last updated on: 5/11/2023