Prescott House Treatment LLC

NPI #1447047337 in Prescott, Arizona

Provider Information

NPI Number: 1447047337
Entity Type: Organization
Organization Name: Prescott House Treatment LLC
Primary Specialty: Clinic/Center - Mental Health (Including Community Mental Health Center)
Enumeration Date: Apr 23, 2025
Last Updated: Apr 23, 2025

Practice Location

Address: 214 N ARIZONA AVE
City: Prescott
State: Arizona
ZIP Code: 86301-3104
Phone: (866) 424-2470

Authorized Official

Name: MR. ALLEN ZEV FRIEDMAN
Title: MANAGER
Phone: (917) 605-7075

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Community/Behavioral Health	251S00000X
Clinic/Center - Adult Mental Health — Adult Mental Health	261QM0850X
Clinic/Center - Rehabilitation, Substance Use Disorder — Rehabilitation, Substance Use Disorder	261QR0405X
Community Based Residential Treatment Facility, Mental Illness	320800000X
Clinic/Center - Mental Health (Including Community Mental Health Center) — Mental Health (Including Community Mental Health Center)	261QM0801X	Primary

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