Spartan Recovery Life LLC
Spartan Recovery Life LLC is an Addiction (Substance Use Disorder) Psychologist in Prescott, Arizona. Registered with an NPI since 2019.
- In the registry since
- 2019
- Specialties on file
- 2
What do these letters mean?
- LLC — Limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
919 12th Pl Ste 13Prescott, AZ 86305-1433
Phone: (833) 228-4222
Fax: (866) 697-2326
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Substance Use Disorder Rehabilitation Clinic/Center (primary) | Taxonomy 261QR0405X |
|---|---|
| Addiction (Substance Use Disorder) Psychologist | Taxonomy 103TA0400X |
Record details
| NPI number | 1114565553 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Debra Kimbro — Director Of Finance · (706) 633-3384 |
| NPI enumerated | December 17, 2019 |
| Last updated in NPPES | December 17, 2019 |
| Certification date | December 17, 2019 |
| Mailing address | 919 12th Pl Ste 13, Prescott, AZ 86305-1433 |