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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