SEAGLASS AZ LLC

PRESCOTT, AZ
NPI1003567207
Doing Business AsROYAL LIFE CENTERS
Entity TypeOrganization
Authorized ContactSHANDALEE JACKSON
Credentialing Manager
561-562-6271
Organization Subpart ?No
Primary Taxonomy324500000X Substance Abuse Rehabilitation Facility
Additional Taxonomies261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder
Enumeration Date2022-01-10
Last Update Date2022-06-23
Business Address
SEAGLASS AZ LLC
707 W GURLEY ST
PRESCOTT, AZ 86305-3621
Phone number: 888-468-3389
Mailing Address
SEAGLASS AZ LLC
1590 S CONGRESS AVE
PALM SPRINGS, FL 33406-5957
Phone number: 347-693-4239