Royal Az LLC
NPI #1013668219 in Prescott, Arizona
Provider Information
- NPI Number
- 1013668219
- Entity Type
- Organization
- Organization Name
- Royal Az LLC
- Primary Specialty
- Substance Abuse Rehabilitation Facility
- Enumeration Date
- Jan 10, 2022
- Last Updated
- Mar 22, 2022
Practice Location
Authorized Official
- Name
- SHANDALEE JACKSON
- Title
- CREDENTIALING MANAGER
- Phone
- (561) 562-6271
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Rehabilitation, Substance Use Disorder — Rehabilitation, Substance Use Disorder |
| Substance Abuse Rehabilitation Facility |
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