Organization
ALCOHOLISM COUNCIL OF COCHISE
Active
Other names
Verhelst Recovery House
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PATRICK MCNARY LISAC (EXECUTIVE DIRECTOR)
(520) 432-3764
Entity
Organization
Contact information
Practice address
936 TOVREAVILLE ROAD, BISBEE, AZ 85603-4098
(520) 432-3764
(520) 432-5794
Mailing address
PO BOX 4098, BISBEE, AZ 85603-4098
(520) 432-3764
(520) 432-5794
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
BH-1640
AZ
Other
Enumeration date
11/15/2006
Last updated
08/22/2020
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