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

Prescott Detox Center, LLC

Organization Substance Use Disorder Rehabilitation Hospital Unit · NPI 1417391293

Prescott Detox Center, LLC is a Substance Use Disorder Rehabilitation Hospital Unit in Prescott, Arizona. Licensed in Arizona. Registered with an NPI since 2013.

Licensed in
AZ
In the registry since
2013
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

831 Gail Gardner Way
Prescott, AZ 86305-1606
Phone: (928) 445-3834
Fax: (928) 445-3649
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Substance Use Disorder Rehabilitation Hospital Unit (primary) Taxonomy 276400000X · Licence BH4207 (AZ)

Record details

NPI number1417391293
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Robert Ashby — Medical Director · (480) 991-0280
NPI enumeratedApril 23, 2013
Last updated in NPPESApril 23, 2013
Mailing address831 Gail Gardner Way, Prescott, AZ 86305-1606

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