NPI 1013668219

Royal Az LLC

Organisation Substance Abuse Rehabilitation Facility Prescott, AZ

Practice location

Address: 831 Gail Gardner Way, Prescott, AZ 86305-1606
Phone: (855) 468-3389
Mailing address: 1590 S Congress Ave, Palm Springs, FL 33406-5957

Authorised official

Name: Shandalee Jackson
Title: Credentialing Manager
Phone: (561) 562-6271

Registered specialties (2)

Substance Abuse Rehabilitation Facility Primary

Residential Treatment Facilities Taxonomy 324500000X

Other Substance Abuse Rehabilitation Facility providers in Arizona →

Substance Use Disorder Rehabilitation Clinic/Center

Ambulatory Health Care Facilities Taxonomy 261QR0405X

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Registry record

NPI: 1013668219
Entity type: Organization
NPI issued: 10 Jan 2022
Record last updated: 22 Mar 2022

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.