NPI 1023826757
Wolf Creek Wellness Center, LLC
Practice location
- Address
- 360 Trailwood Dr, Prescott, AZ 86301-8635
- Phone
- (928) 800-0169
- Mailing address
- 600 E Gurley St STE C, Prescott, AZ 86301-3246
Authorised official
- Name
- Jonathon Ciampa
- Title
- Ceo
- Phone
- (928) 379-4075
Registered specialties
Substance Abuse Rehabilitation Facility
Primary
Registry record
- NPI
- 1023826757
- Entity type
- Organization
- NPI issued
- 27 Dec 2024
- Record last updated
- 27 Dec 2024
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.