NPI 1003567207
Seaglass Az LLC
Practice location
- Address
- 707 W Gurley St, Prescott, AZ 86305-3621
- Phone
- (888) 468-3389
- Mailing address
- 1590 S Congress Ave, Palm Springs, FL 33406-5957
Authorised official
- Name
- Bruce Worthington
- Title
- Director, Revenue Cycle Management
- Phone
- (561) 858-8263
Registered specialties (2)
Substance Abuse Rehabilitation Facility
Primary
Substance Use Disorder Rehabilitation Clinic/Center
Registry record
- NPI
- 1003567207
- Entity type
- Organization
- NPI issued
- 10 Jan 2022
- Record last updated
- 23 Mar 2026
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.