Prescott House INC

NPI #1962703991 in Prescott, Arizona

Provider Information

NPI Number: 1962703991
Entity Type: Organization
Organization Name: Prescott House INC
Primary Specialty: Community Based Residential Treatment Facility, Mental Illness
Enumeration Date: Nov 8, 2010
Last Updated: Aug 1, 2018

Practice Location

Address: 214 N. AZ AVE
City: Prescott
State: Arizona
ZIP Code: 86301
Phone: (928) 776-8251

Authorized Official

Name: MR. HENRY DAYTON TURBERVILLE
Title: EXECUTIVE DIR.
Phone: (928) 776-8251

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Community Based Residential Treatment Facility, Mental Illness	320800000X	Primary
Substance Abuse Rehabilitation Facility	324500000X

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