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Life Transformation Recovery
Substance Abuse Rehabilitation Facility in Prescott Valley, Arizona
NPI 1952758500

Life Transformation Recovery is a Substance Abuse Rehabilitation Facility based in Prescott Valley, AZ. Life Transformation Recovery practices in Prescott Valley, AZ. The NPI Number for Life Transformation Recovery is 1952758500 and holds a License No. BH4673 (Arizona).

The current practice location address for Life Transformation Recovery is 6217 N Reata Dr, Prescott Valley, AZ and can be reached out via phone at 928-515-0044 and via fax at 928-433-4977.

Location: 6217 N Reata Dr, Prescott Valley, AZ, 86314-8954
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1952758500
Provider Name
Life Transformation Recovery
Credential
Provider Entity Type
Organization
Address
6217 N Reata Dr, Prescott Valley, AZ, 86314-8954
Phone Number
928-515-0044
Fax Number
928-433-4977
Provider Enumeration Date
05/24/2016
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
083523 05 AZ
institution
Provider Business Practice Location Address Details
Address
6217 N Reata Dr
City
Prescott Valley
State
Arizona
Zip
86314-3234
Phone Number
928-515-0044
Fax Number
928-433-4977
person
Provider Business Mailing Address Details
Address
6217 N Reata Dr
City
Prescott Valley
State
Arizona
Zip
86314-3234
Phone Number
928-515-0044
Fax Number
928-433-4977
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Substance Abuse Rehabilitation Facility
Speciality
-
Taxonomy
324500000X
License No.
BH4673 (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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