NPI 1013460385

Prescott Addiction Recovery Center LLC

Organisation Community/Behavioral Health Agency Prescott, AZ

Practice location

Address: 1630 Shoup St Suite B, Prescott, AZ 86305-1343
Phone: (928) 227-2448

Authorised official

Name: Kenneth Chance
Title: Vice President
Phone: (928) 227-2448

Registered specialties

Community/Behavioral Health Agency Primary

Agencies Taxonomy 251S00000X Licence OTC7711 (AZ)

Other Community/Behavioral Health providers in Arizona →

Registry record

NPI: 1013460385
Entity type: Organization
NPI issued: 3 Aug 2016
Record last updated: 3 Aug 2016

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.