Organization · Type 2 NPI
Main Street Diagnostic, LLC
Substance Abuse Rehabilitation Facility · Cottonwood, AZ
NPI number
1972639748
Active
Practice location
636 N Main St
Cottonwood, AZ 86326-3725
Fax (928) 639-3924
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Substance Abuse Rehabilitation Facility Primary | 324500000X | PENDING (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
Other substance abuse rehabilitation facility providers in Cottonwood
About NPI 1972639748
Main Street Diagnostic, LLC's National Provider Identifier is 1972639748, issued on Feb 26, 2007. The primary taxonomy on file is Substance Abuse Rehabilitation Facility (324500000X), and the practice location is in Cottonwood, AZ. The record was last updated on Aug 22, 2020.