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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.

Location: 1630 Shoup St, Prescott, AZ, 86304-0835
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
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
Prescott
State
Arizona
Zip
86305-1343
Phone Number
928-227-2448
Fax Number
928-268-3433
person
Provider Business Mailing Address Details
Address
1630 Shoup St
City
Prescott
State
Arizona
Zip
86305-1343
Phone Number
928-227-2448
Fax Number
928-268-3433
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Substance Abuse Rehabilitation Facility
Speciality
-
Taxonomy
324500000X
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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