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Prescott House Inc
Substance Abuse Rehabilitation Facility in Prescott, Arizona
NPI 1962703991

Prescott House Inc is a Substance Abuse Rehabilitation Facility based in Prescott, AZ. Prescott House Inc practices in Prescott, AZ. The NPI Number for Prescott House Inc is 1962703991 and holds a License No. BH-264 (Arizona).

The current practice location address for Prescott House Inc is 214 N. Az Ave, Prescott, AZ and can be reached out via phone at 928-776-8251 and via fax at 928-771-2024.

Location: 214 N. Az Ave, Prescott, AZ, 86301
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1962703991
Provider Name
Prescott House Inc
Credential
Provider Entity Type
Organization
Address
214 N. Az Ave, Prescott, AZ, 86301
Phone Number
928-776-8251
Fax Number
928-771-2024
Provider Enumeration Date
11/08/2010
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
214 N. Az Ave
City
Prescott
State
Arizona
Zip
86301
Phone Number
928-776-8251
Fax Number
928-771-2024
person
Provider Business Mailing Address Details
Address
214 N. Az Ave
City
Prescott
State
Arizona
Zip
86301
Phone Number
928-776-8251
Fax Number
928-771-2024
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Community Based Residential Treatment Facility, Mental Illness
Speciality
-
Taxonomy
320800000X
License No.
OTC-6470 (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-264 (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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