NPI 1023385390

Montana Society Incorporated

Organisation Substance Abuse Rehabilitation Facility Prescott, AZ

Practice location

Address: 1630 Shoup St, Prescott, AZ 86305-1343
Phone: (928) 227-2448
Fax: (928) 268-3433
Mailing address: PO Box 10835, Prescott, AZ 86304-0835

Authorised official

Name: Kenneth Chance
Title: Ceo/President
Phone: (928) 288-2004

Registered specialties

Substance Abuse Rehabilitation Facility Primary

Residential Treatment Facilities Taxonomy 324500000X Licence BH3965 (AZ)

Other Substance Abuse Rehabilitation Facility providers in Arizona →

Registry record

NPI: 1023385390
Entity type: Organization
NPI issued: 30 Nov 2011
Record last updated: 27 Jul 2015

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.