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Prescott Medical Executive Detox
Substance Abuse Rehabilitation Facility in Prescott, Arizona
NPI 1982996989

Prescott Medical Executive Detox is a Substance Abuse Rehabilitation Facility based in Prescott, AZ. Prescott Medical Executive Detox practices in Prescott, AZ. The NPI Number for Prescott Medical Executive Detox is 1982996989 and holds a License No. 3273 (Arizona).

The current practice location address for Prescott Medical Executive Detox is 134 S Granite St, Prescott, AZ and can be reached out via phone at 928-227-2300 and via fax at 928-445-1416.

Location: 134 S Granite St, Prescott, AZ, 86303-4710
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1982996989
Provider Name
Prescott Medical Executive Detox
Credential
Provider Entity Type
Organization
Address
134 S Granite St, Prescott, AZ, 86303-4710
Phone Number
928-227-2300
Fax Number
928-445-1416
Provider Enumeration Date
05/09/2011
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
134 S Granite St
City
Prescott
State
Arizona
Zip
86303-4710
Phone Number
928-227-2300
Fax Number
928-445-1416
person
Provider Business Mailing Address Details
Address
134 S Granite St
City
Prescott
State
Arizona
Zip
86303-4710
Phone Number
928-227-2300
Fax Number
928-445-1416
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Substance Abuse Rehabilitation Facility
Speciality
-
Taxonomy
324500000X
License No.
3273 (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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