Prescott Addiction Recovery Center LLC

NPI #1013460385 in Prescott, Arizona

Provider Information

NPI Number
1013460385
Entity Type
Organization
Organization Name
Prescott Addiction Recovery Center LLC
Primary Specialty
Community/Behavioral Health
Enumeration Date
Aug 3, 2016
Last Updated
Aug 3, 2016

Practice Location

Address
1630 SHOUP ST
Address 2
SUITE B
State
Arizona
ZIP Code
86305-1343
Phone
(928) 227-2448

Authorized Official

Name
KENNETH CHANCE, D. DIV.
Title
VICE PRESIDENT
Phone
(928) 227-2448

Specialties & Taxonomy Codes

Specialty
Community/Behavioral Health

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