Organization
ALCOHOLISM COUNCIL OF COCHISE
Active
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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