Organization
WOLF CREEK WELLNESS CENTER, LLC
Active
Organization
WOLF CREEK WELLNESS CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JONATHON CIAMPA (CEO)
(928) 379-4075
Entity
Organization
Contact information
Practice address
360 TRAILWOOD DR, PRESCOTT, AZ 86301-8635
(928) 800-0169
Mailing address
600 E GURLEY ST STE C, PRESCOTT, AZ 86301-3246
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
12/27/2024
Last updated
12/27/2024
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