NPI 1104106418

Carleton Recovery Center, LLC

Organisation Community/Behavioral Health Agency Prescott, AZ

Practice location

Address: 637 W Hillside Ave, Prescott, AZ 86301-1915
Phone: (928) 708-9615
Fax: (928) 708-9620
Mailing address: 505 W. Whipple St., Prescott, AZ 86301

Authorised official

Name: Fred Schaffner
Title: Cheif Financial Officer
Phone: (928) 778-4600

Registered specialties

Community/Behavioral Health Agency Primary

Agencies Taxonomy 251S00000X Licence BH-3908 (AZ)

Other Community/Behavioral Health providers in Arizona →

Registry record

NPI: 1104106418
Entity type: Organization
NPI issued: 18 Aug 2011
Record last updated: 24 May 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.