institution
Montana Society Incorporated
Substance Abuse Rehabilitation Facility in Prescott, Arizona
NPI 1023385390

Montana Society Incorporated is a Substance Abuse Rehabilitation Facility based in Prescott, AZ. Montana Society Incorporated practices in Prescott, AZ. The NPI Number for Montana Society Incorporated is 1023385390 and holds a License No. BH3965 (Arizona).

The current practice location address for Montana Society Incorporated is 1630 Shoup St, Prescott, AZ and can be reached out via phone at 928-227-2448 and via fax at 928-268-3433. You can also correspond with Montana Society Incorporated through the mailing address at PO BOX 10835, PRESCOTT, AZ - 86304-0835 (mailing address contact number: 928-515-3350).

Location: 1630 Shoup St, Prescott, AZ, 86304-0835
institution
Provider Profile Details
NPI Number
1023385390
Provider Name
Montana Society Incorporated
Credential
Provider Entity Type
Organization
Address
1630 Shoup St, Prescott, AZ, 86304-0835
Phone Number
928-227-2448
Fax Number
928-268-3433
Provider Enumeration Date
11/30/2011
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1630 Shoup St
City
State
Zip
86305-1343
Phone Number
928-227-2448
Fax Number
928-268-3433
person
Provider Business Mailing Address Details
Address
Po Box 10835
City
State
Zip
86304-0835
Phone Number
928-515-3350
Fax Number
928-268-3433
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Substance Abuse Rehabilitation Facility
Speciality
-
Taxonomy
License No.
BH3965 (Arizona)
Definition
A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.
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