NPI 1043574577

Arrowhead Lodge

Organisation Substance Abuse Rehabilitation Facility Prescott, AZ

Practice location

Address: 5113 W Arrowhead Dr, Prescott, AZ 86305-7304
Phone: (626) 797-9977

Authorised official

Name: Kenneth Anthony Gray
Title: Insurance Coordinator
Phone: (626) 797-9977

Registered specialties

Substance Abuse Rehabilitation Facility Primary

Residential Treatment Facilities Taxonomy 324500000X Licence BH-3965 (AZ)

Other Substance Abuse Rehabilitation Facility providers in Arizona →

Registry record

NPI: 1043574577
Entity type: Organization
NPI issued: 29 Jun 2012
Record last updated: 29 Jun 2012

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.