Organization
PARAMOUNT RECOVERY CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KEVIN ROSS (CHIEF EXECUTIVE OFFICER)
(917) 903-7445
Entity
Organization
Contact information
Practice address
637 W HILLSIDE AVE, PRESCOTT, AZ 86301-1909
(928) 370-3523
(866) 868-3056
Mailing address
637 W HILLSIDE AVE, PRESCOTT, AZ 86301-1909
(928) 222-1485
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
—
—
Other
Enumeration date
04/07/2020
Last updated
12/28/2023
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