Arrowhead Lodge

NPI #1043574577 in Prescott, Arizona

Provider Information

NPI Number
1043574577
Entity Type
Organization
Organization Name
Arrowhead Lodge
Subpart
Yes (part of a larger organization)
Parent Organization
THE MONTANA SOCIETY
Primary Specialty
Substance Abuse Rehabilitation Facility
Enumeration Date
Jun 29, 2012
Last Updated
Jun 29, 2012

Practice Location

Address
5113 W ARROWHEAD DR
State
Arizona
ZIP Code
86305-7304
Phone
(626) 797-9977

Authorized Official

Name
KENNETH ANTHONY GRAY, LCSW
Title
INSURANCE COORDINATOR
Phone
(626) 797-9977

Specialties & Taxonomy Codes

Specialty
Substance Abuse Rehabilitation Facility

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