Organization
PEAKS YOUTH BEHAVIORAL HEALTH CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MAKENZIE ELIZABETH STIDHAM (MEMBER MANAGER)
(928) 848-6941
Entity
Organization
Contact information
Practice address
642 DAMERON DR, PRESCOTT, AZ 86301-2411
(928) 848-6941
Mailing address
642 DAMERON DR, PRESCOTT, AZ 86301-2411
(928) 848-6941
Taxonomy
Speciality
Code
Description
License number
State
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
—
—
Other
Enumeration date
04/04/2026
Last updated
04/04/2026
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