Organization · Type 2 NPI
Montana Society Incorporated
Substance Abuse Rehabilitation Facility · Prescott, AZ
NPI number
1023385390
Active
Practice location
1630 Shoup St
Prescott, AZ 86305-1343
Fax (928) 268-3433
Mailing address
PO Box 10835
Prescott, AZ 86304-0835
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Substance Abuse Rehabilitation Facility Primary | 324500000X | BH3965 (AZ) |
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.
3 other providers at this address
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About NPI 1023385390
Montana Society Incorporated's National Provider Identifier is 1023385390, issued on Nov 30, 2011. 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 Jul 27, 2015.