Organization
PRESCOTT RECOVERY SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEBRA KIMBRO (DIRECTOR OF FINANCE)
(706) 633-3384
Entity
Organization
Contact information
Practice address
805 WHITE SPAR RD, PRESCOTT, AZ 86303-4636
(928) 899-8105
(866) 697-2326
Mailing address
805 WHITE SPAR RD, PRESCOTT, AZ 86303-4636
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
12/17/2019
Last updated
12/17/2019
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