Organization
PRONGHORN PSYCHIATRY
Active
Organization
PRONGHORN PSYCHIATRY
Active
Other names
Stoneridge Centers, Stoneridge Pinnacle
Organization subpart
No
Provider details
NPI number
Authorized official
JOSEPH LETENDRE (CEO)
(928) 583-7799
Entity
Organization
Contact information
Practice address
2968 N VALLEY VIEW DR, PRESCOTT VALLEY, AZ 86314-2550
(928) 583-7799
Mailing address
5940 E COPPER HILL DR STE B, PRESCOTT VALLEY, AZ 86314-2860
(928) 583-7799
(928) 583-7891
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
—
—
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
—
—
324500000X
Substance Abuse Rehabilitation Facility
—
—
343900000X
Non-emergency Medical Transport (VAN)
—
—
347C00000X
Private Vehicle
—
—
Other
Enumeration date
10/28/2024
Last updated
01/30/2025
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