Organization
SUMMIT BEHAVIORAL HEALTH OF ARIZONA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BENJAMIN T ISENBERG (CEO)
(928) 710-7021
Entity
Organization
Contact information
Practice address
8705 E EASTRIDGE RD, PRESCOTT VALLEY, AZ 86314-8563
(928) 710-7021
(928) 708-9620
Mailing address
637 W HILLSIDE AVE, PRESCOTT, AZ 86301-1909
(928) 710-7021
(928) 708-9620
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
—
—
Other
Enumeration date
03/31/2016
Last updated
12/27/2017
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