NPI 1417391293

Prescott Detox Center, LLC

Organisation Substance Use Disorder Rehabilitation Hospital Unit Prescott, AZ

Practice location

Address: 831 Gail Gardner Way, Prescott, AZ 86305-1606
Phone: (928) 445-3834
Fax: (928) 445-3649

Authorised official

Name: Robert Ashby
Title: Medical Director
Phone: (480) 991-0280

Registered specialties

Substance Use Disorder Rehabilitation Hospital Unit Primary

Hospital Units Taxonomy 276400000X Licence BH4207 (AZ)

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Registry record

NPI: 1417391293
Entity type: Organization
NPI issued: 23 Apr 2013
Record last updated: 23 Apr 2013

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.