Montana Society Incorporated
Montana Society Incorporated is a Substance Abuse Rehabilitation Facility in Prescott, Arizona. Licensed in Arizona. Registered with an NPI since 2011.
- Licensed in
- AZ
- In the registry since
- 2011
Practice location Address checks out
1630 Shoup StPrescott, AZ 86305-1343
Phone: (928) 227-2448
Fax: (928) 268-3433
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Substance Abuse Rehabilitation Facility (primary) | Taxonomy 324500000X · Licence BH3965 (AZ) |
|---|
Record details
| NPI number | 1023385390 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Kenneth Chance — Ceo/President · (928) 288-2004 |
| Other names | The Montana Lodge |
| NPI enumerated | November 30, 2011 |
| Last updated in NPPES | July 27, 2015 |
| Mailing address | Po Box 10835, Prescott, AZ 86304-0835 |
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