Organization · Type 2 NPI

Prescott Medical Executive Detox

Substance Abuse Rehabilitation Facility · Prescott, AZ

NPI number 1982996989 Active

Practice location

134 S Granite St
Prescott, AZ 86303-4710

Call (928) 227-2300 Map

Fax (928) 445-1416

Specialties and licenses

TaxonomyCodeLicense
Substance Abuse Rehabilitation Facility Primary 324500000X3273 (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.

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About NPI 1982996989

Prescott Medical Executive Detox's National Provider Identifier is 1982996989, issued on May 9, 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 May 9, 2011.