Prescott Medical Executive Detox
Prescott Medical Executive Detox 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
134 S Granite StPrescott, AZ 86303-4710
Phone: (928) 227-2300
Fax: (928) 445-1416
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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 3273 (AZ) |
|---|
Record details
| NPI number | 1982996989 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Patrick Gallus — Chief Administrator · (928) 899-0128 |
| NPI enumerated | May 9, 2011 |
| Last updated in NPPES | May 9, 2011 |
| Mailing address | 134 S Granite St, Prescott, AZ 86303-4710 |
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