Organization · Type 2 NPI

Seaglass Az LLC

Substance Abuse Rehabilitation Facility · Prescott, AZ

NPI number 1003567207 Active

Practice location

707 W Gurley St
Prescott, AZ 86305-3621

Call (888) 468-3389 Map

Mailing address

1590 S Congress Ave
Palm Springs, FL 33406-5957

Specialties and licenses

Taxonomy	Code	License
Substance Use Disorder Rehabilitation Clinic/Center	261QR0405X	None listed
Substance Abuse Rehabilitation Facility Primary	324500000X	None listed

Substance Abuse Rehabilitation Facility: A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.

2 other providers at this address

Other substance abuse rehabilitation facility providers in Prescott

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NPI record

NPI: 1003567207
Entity type: Organization (Type 2)
Issued: Jan 10, 2022
Last updated: Mar 23, 2026
Status: Active

Other names

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Royal Life Centers · doing business as
Royal Life Centers · doing business as

Authorized official

Bruce Worthington, MBA
Director, Revenue Cycle Management
(561) 858-8263

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About NPI 1003567207

Seaglass Az LLC's National Provider Identifier is 1003567207, issued on Jan 10, 2022. The primary taxonomy on file is Substance Abuse Rehabilitation Facility (324500000X), and the practice location is in Prescott, AZ. The record was last updated on Mar 23, 2026.