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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. You can also correspond with Main Street Diagnostic, Llc through the mailing address at 636 N MAIN ST, COTTONWOOD, AZ - 86326-3725 (mailing address contact number: 928-639-4440).

Location: 636 N Main St, Cottonwood, AZ, 86326-3725
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
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
Cottonwood
State
Arizona
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
Cottonwood
State
Arizona
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
324500000X
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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