institution
Main Street Diagnostic, Llc
Substance Abuse Rehabilitation Facility in Cottonwood, Arizona
NPI 1972639748

Main Street Diagnostic, Llc is a Substance Abuse Rehabilitation Facility based in Cottonwood, AZ. Main Street Diagnostic, Llc practices in Cottonwood, AZ. The NPI Number for Main Street Diagnostic, Llc is 1972639748 and holds a License No. PENDING (Arizona).

The current practice location address for Main Street Diagnostic, Llc is 636 N Main St, Cottonwood, AZ and can be reached out via phone at 928-639-4440 and via fax at 928-639-3924.

Location: 636 N Main St, Cottonwood, AZ, 86326-3725
institution
Provider Profile Details
NPI Number
1972639748
Provider Name
Main Street Diagnostic, Llc
Credential
Provider Entity Type
Organization
Address
636 N Main St, Cottonwood, AZ, 86326-3725
Phone Number
928-639-4440
Fax Number
928-639-3924
Provider Enumeration Date
02/26/2007
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
636 N Main St
City
State
Zip
86326-3725
Phone Number
928-639-4440
Fax Number
928-639-3924
person
Provider Business Mailing Address Details
Address
636 N Main St
City
State
Zip
86326-3725
Phone Number
928-639-4440
Fax Number
928-639-3924
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Substance Abuse Rehabilitation Facility
Speciality
-
Taxonomy
License No.
PENDING (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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