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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

PRESCOTT MEDICAL EXECUTIVE DETOX

Active Organization

Substance Abuse Rehabilitation Facility · PRESCOTT, AZ

Registration Details

NPI Number
1982996989
Provider Type
Organization
NPI Issued
May 9, 2011 (14.95278705888 yrs)
Last Updated
May 9, 2011
License
3273 (AZ)

Practice Information

Address
134 S GRANITE ST
PRESCOTT, AZ, 863034710
Browse AZ providers · Browse ZIP 86303
Phone
9282272300
Fax
9284451416
Primary Specialty
Substance Abuse Rehabilitation Facility
324500000X

Other Substance Abuse Rehabilitation Facility Organizations in PRESCOTT, AZ

Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.