Arrowhead Lodge, LLC

NPI #1124454236 in Prescott, Arizona

Provider Information

NPI Number
1124454236
Entity Type
Organization
Organization Name
Arrowhead Lodge, LLC
Primary Specialty
Substance Abuse Rehabilitation Facility
Enumeration Date
Sep 20, 2013
Last Updated
Sep 20, 2013

Practice Location

Address
5113 W ARROWHEAD DR
State
Arizona
ZIP Code
86305-7304
Phone
(928) 227-2448

Authorized Official

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

Specialties & Taxonomy Codes

Specialty
Substance Abuse Rehabilitation Facility

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