institution
Ccr Otc Llc
Substance Use Disorder Rehabilitation Clinic/Center in Prescott, Arizona
NPI 1700281219

Ccr Otc Llc is a Substance Use Disorder Rehabilitation Clinic/Center based in Prescott, AZ and is specialized in Rehabilitation, Substance Use Disorder. Ccr Otc Llc practices in Prescott, AZ. The NPI Number for Ccr Otc Llc is 1700281219 and holds a License No. 10486 (Arizona).

The current practice location address for Ccr Otc Llc is 819 W Gurley St Unit C, Prescott, AZ and can be reached out via phone at 928-671-0161 and via fax at 928-708-9620.

Location: 819 W Gurley St Unit C, Prescott, AZ, 86305-3626
institution
Provider Profile Details
NPI Number
1700281219
Provider Name
Ccr Otc Llc
Credential
Provider Entity Type
Organization
Address
819 W Gurley St Unit C, Prescott, AZ, 86305-3626
Phone Number
928-671-0161
Fax Number
928-708-9620
Provider Enumeration Date
10/27/2014
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
819 W Gurley St Unit C
City
State
Zip
86305-3626
Phone Number
928-671-0161
Fax Number
928-708-9620
person
Provider Business Mailing Address Details
Address
819 W Gurley St Unit C
City
State
Zip
86305-3626
Phone Number
928-671-0161
Fax Number
928-708-9620
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Rehabilitation, Substance Use Disorder
Taxonomy
License No.
10486 (Arizona)
Definition
Definition to come...
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