Seaglass Az LLC
NPI #1003567207 in Prescott, Arizona
Provider Information
- NPI Number
- 1003567207
- Entity Type
- Organization
- Organization Name
- Seaglass Az LLC
- Primary Specialty
- Substance Abuse Rehabilitation Facility
- Enumeration Date
- Jan 10, 2022
- Last Updated
- May 20, 2025
Practice Location
Authorized Official
- Name
- JANICE VAYSBERG
- Title
- CFO
- Phone
- (847) 345-5541
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Rehabilitation, Substance Use Disorder — Rehabilitation, Substance Use Disorder |
| Substance Abuse Rehabilitation Facility |
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