Organization · Type 2 NPI
Practical Development
Substance Use Disorder Rehabilitation Clinic/Center · Prescott, AZ
NPI number
1114309945
Active
Practice location
1965 Commerce Center Cir, Suite C
Prescott, AZ 86301-4484
Fax (954) 746-8231
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Substance Use Disorder Rehabilitation Clinic/Center Primary | 261QR0405X | None listed |
Substance Use Disorder Rehabilitation Clinic/Center: Definition to come...
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About NPI 1114309945
Practical Development's National Provider Identifier is 1114309945, issued on Jun 29, 2015. The primary taxonomy on file is Substance Use Disorder Rehabilitation Clinic/Center (261QR0405X), and the practice location is in Prescott, AZ. The record was last updated on Jun 29, 2015.