Organization · Type 2 NPI

Spartan Recovery Life LLC

Substance Use Disorder Rehabilitation Clinic/Center · Prescott, AZ

NPI number 1114565553 Active

Practice location

919 12th Pl Ste 13
Prescott, AZ 86305-1433

Fax (866) 697-2326

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Psychologist 103TA0400XNone listed
Substance Use Disorder Rehabilitation Clinic/Center Primary 261QR0405XNone listed

Substance Use Disorder Rehabilitation Clinic/Center: Definition to come...

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About NPI 1114565553

Spartan Recovery Life LLC's National Provider Identifier is 1114565553, issued on Dec 17, 2019. 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 Dec 17, 2019.