Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Ccr Otc LLC

Organization Substance Use Disorder Rehabilitation Clinic/Center · NPI 1700281219

Ccr Otc LLC is a Substance Use Disorder Rehabilitation Clinic/Center in Prescott, Arizona. Licensed in Arizona. Registered with an NPI since 2014.

Licensed in
AZ
In the registry since
2014
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

819 W Gurley St Unit C
Prescott, AZ 86305-3626
Phone: (928) 671-0161
Fax: (928) 708-9620
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Substance Use Disorder Rehabilitation Clinic/Center (primary) Taxonomy 261QR0405X · Licence 10486 (AZ)

Record details

NPI number1700281219
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Erin Bachman — Cfo · (928) 671-0161
NPI enumeratedOctober 27, 2014
Last updated in NPPESOctober 27, 2014
Mailing address819 W Gurley St Unit C, Prescott, AZ 86305-3626

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