Prescott Medical Executive Detox
NPI #1982996989 in Prescott, Arizona
Provider Information
- NPI Number
- 1982996989
- Entity Type
- Organization
- Organization Name
- Prescott Medical Executive Detox
- Primary Specialty
- Substance Abuse Rehabilitation Facility
- Enumeration Date
- May 9, 2011
- Last Updated
- May 9, 2011
Practice Location
Authorized Official
- Name
- PATRICK GALLUS, D.O.
- Title
- CHIEF ADMINISTRATOR
- Phone
- (928) 899-0128
Specialties & Taxonomy Codes
| Specialty |
|---|
| Substance Abuse Rehabilitation Facility |
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