Organization · Type 2 NPI

Royal Az LLC

Psychiatric Hospital · Prescott, AZ

NPI number 1013668219 Active

Practice location

831 Gail Gardner Way
Prescott, AZ 86305-1606

Call (855) 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
Psychiatric Hospital Primary	283Q00000X	None listed
Substance Abuse Rehabilitation Facility	324500000X	None listed

Psychiatric Hospital: An organization including a physical plant and personnel that provides multidisciplinary diagnostic and treatment mental health services to patients requiring the safety, security, and shelter of the inpatient or partial hospitalization settings.

4 other providers at this address

Other psychiatric hospital providers in Prescott

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NPI record

NPI: 1013668219
Entity type: Organization (Type 2)
Issued: Jan 10, 2022
Last updated: Sep 16, 2026
Status: Active

Other names

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

Authorized official

Shandalee Jackson
Credentialing Manager
(561) 562-6271

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1013668219

Royal Az LLC's National Provider Identifier is 1013668219, issued on Jan 10, 2022. The primary taxonomy on file is Psychiatric Hospital (283Q00000X), and the practice location is in Prescott, AZ. The record was last updated on Sep 16, 2026.