Round Table Recovery, LLC

NPI #1316225444 in Prescott, Arizona

Provider Information

NPI Number
1316225444
Entity Type
Organization
Organization Name
Round Table Recovery, LLC
Primary Specialty
Community/Behavioral Health
Enumeration Date
Jul 22, 2011
Last Updated
Jul 22, 2011

Practice Location

Address
711 S GRANITE ST
Address 2
SUITE B
State
Arizona
ZIP Code
86303-4241
Phone
(928) 533-2887

Authorized Official

Name
IRA N NISHIKAWA
Title
DIRECTOR
Phone
(928) 533-2887

Specialties & Taxonomy Codes

Specialty
Community/Behavioral Health

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