Organization
SEAGLASS AZ LLC
Active
Organization
SEAGLASS AZ LLC
Active
Other names
Royal Life Centers
Organization subpart
No
Provider details
NPI number
Authorized official
BRUCE WORTHINGTON MBA (DIRECTOR, REVENUE CYCLE MANAGEMENT)
(561) 858-8263
Entity
Organization
Contact information
Practice address
707 W GURLEY ST, PRESCOTT, AZ 86305-3621
(888) 468-3389
Mailing address
1590 S CONGRESS AVE, PALM SPRINGS, FL 33406-5957
(561) 858-8263
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
—
—
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
01/10/2022
Last updated
03/23/2026
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