institution
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. You can also correspond with Prescott Medical Executive Detox through the mailing address at 134 S GRANITE ST, PRESCOTT, AZ - 86303-4710 (mailing address contact number: 928-227-2300).

Location: 134 S Granite St, Prescott, AZ, 86303-4710
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
State
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
State
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
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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