Organization · Type 2 NPI
Main Street Diagnostic LLC
Psychiatric Hospital · Cottonwood, AZ
NPI number
1225027477
Active
Practice location
636 N Main St
Cottonwood, AZ 86326-3725
Fax (928) 639-3924
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric Hospital Primary | 283Q00000X | BH-2492 (AZ) |
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.
3 other providers at this address
About NPI 1225027477
Main Street Diagnostic LLC's National Provider Identifier is 1225027477, issued on Oct 20, 2005. The primary taxonomy on file is Psychiatric Hospital (283Q00000X), and the practice location is in Cottonwood, AZ. The record was last updated on Aug 22, 2020.