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1790129401
PRESCOTT ADDICTION RECOVERY CENTER LLC
PRESCOTT, AZ
NPI
1790129401
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Entity Type
Organization
Authorized Contact
KENNETH CHANCE
CEO/President
928-227-2448
Organization Subpart ?
No
Primary Taxonomy
251S00000X
Enumeration Date
2013-04-24
Last Update Date
2016-07-07
Business Address
PRESCOTT ADDICTION RECOVERY CENTER LLC
1630 SHOUP ST STE B
PRESCOTT, AZ 86305-1343
Phone number: 928-227-2448
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Mailing Address
PRESCOTT ADDICTION RECOVERY CENTER LLC
1630 SHOUP ST STE B
PRESCOTT, AZ 86305-1343
Phone number: 928-227-2448
Copy
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