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Re-creation Retreat Llc
Substance Abuse Rehabilitation Facility in Fredonia, Arizona
NPI 1629339437

Re-creation Retreat Llc is a Substance Abuse Rehabilitation Facility based in Kanab, AZ. Re-creation Retreat Llc practices in Fredonia, AZ. The NPI Number for Re-creation Retreat Llc is 1629339437 and holds a License No. BH-3895 (Arizona).

The current practice location address for Re-creation Retreat Llc is 455 South Main, Fredonia, AZ and can be reached out via phone at 435-691-0856.

Location: 455 South Main, Fredonia, AZ, 84741-3311
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1629339437
Provider Name
Re-creation Retreat Llc
Credential
Provider Entity Type
Organization
Address
455 South Main, Fredonia, AZ, 84741-3311
Phone Number
435-691-0856
Fax Number
Provider Enumeration Date
06/07/2012
Last Update Date
03/12/2024
institution
Provider Business Practice Location Address Details
Address
455 South Main
City
Fredonia
State
Arizona
Zip
86022
Phone Number
435-691-0856
Fax Number
person
Provider Business Mailing Address Details
Address
455 South Main
City
Fredonia
State
Arizona
Zip
86022
Phone Number
435-691-0856
Fax Number
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Community Based Residential Treatment Facility, Mental Illness
Speciality
-
Taxonomy
320800000X
License No.
BH-3895 (Arizona)
Definition
A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.
person
Provider's Taxonomy Details 2
Type
Residential Treatment Facilities
Classification
Substance Abuse Rehabilitation Facility
Speciality
-
Taxonomy
324500000X
License No.
BH-3895 (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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